The combination of a proximal-third fibula fracture and medial malleolus fracture has the eponymous name of a Maisonneuve fracture.
This case also demonstrates the importance of two orthogonal views to detect and/or confirm the location of pathology. When reading CR or DR images it is important to be aware that some long-leg views are automatically stitched together and if this is imperfect, artefacts that mimic pathology may occur.
The patient required operative management with two medial malleolus screws and a diastasis screw.