Trimalleolar fracture

Case contributed by Dr Jeremy Jones


Fall from horse with injury to the ankle.

Patient Data

Age: 40
Gender: Female

Admission plain film.

Trimaleolar fracture of the ankle with significant displacement and angulation.

Case Discussion

Fracture through the medial maleolus, distal fibula and and oblique fracture through the posterior portion of the dital tibia as demonstrated on the lateral view.  These trimalleolar fractures are unstable injuries and the degree of talar shift here is significant.  As well as being unstable, significant vascular and neurological injury can occur.

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Case information

rID: 14360
Published: 17th Jul 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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