Weber ankle fracture is an easy system to classify lateral malleolar fractures in relation to the ankle joint.

Classification:

Type A: below the level of the talar dome. Tibiofibular syndesmosis intact. Usually stable if medial malleolus intact.

Type B: distal extent at the level of the talar dome & may extend some distance proximally. tibiofibular syndesmosis usually intact but widening of the distal tibiofibular joint may be seen. Variable stability. Subtypes:

• B1: isolated

• B2: associated with a medial lesion in (malleolus or ligament) 

• B3: associated with a medial lesion and fracture of posterolateral tibia (as in our case)

Type C: above the level of the ankle joint with disruption of tibiofibular syndesmosis with widening of the distal tibiofibular articulation. Unstable: usually requires ORIF. Subtypes:

• C1: simple diaphyseal fracture of the fibula

• C2: complex diaphyseal fracture of the fibula

• C3: proximal fracture of the fibula

Special thanks to Dr. Mohamed Ashfaque Kukkady.