Question 2547
{"accessible":true,"alternatives":[{"id":12494,"text":"pronation-external rotation"},{"id":12495,"text":"pronation-abduction"},{"id":12496,"text":"supination-external rotation"},{"id":12497,"text":"supination-adduction"}],"archived":false,"correctAlternativeId":12494,"explanation":"\u003cp\u003eThe patient has an oblique fibular fracture aboce the talo-tibial joint, which is typical of at least a stage 3 \u003cstrong\u003epronation with external rotation\u003c/strong\u003e injury. \u003c/p\u003e\u003cp\u003eA stage 3 pronation with external rotation injury means there must be an anterior syndesmosis injury and an injury to the medial stabilization structures. \u003c/p\u003e\u003cp\u003eThe widened medial joint space indicates a ruptured deltoid ligament. There is a high likely hood of posterior malleolar fracture or posterior syndesmosis injury. However, imaging is not available to confirm.\u003c/p\u003e","id":2547,"imageUrl":"https://prod-images-static.radiopaedia.org/images/1102/2315d0850eb2897ed6e1189d4dec82_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":36043},"imageAttributionCaseInfo":{"title":"Ankle (distal fibular) fracture - Weber C","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":36043,"case_param":"ankle-distal-fibular-fracture-weber-c"},"firstQuestionPath":"/questions/2547","nextQuestionPath":null,"relatedArticles":[],"alsoUsedIn":[{"id":1430,"kind":"RestrictedPage","title":"Page 1430 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/1430"},{"id":2033,"kind":"Course","title":"X-ray Interpretation: Foot \u0026 Ankle Injuries Peer Review - page 2033","link":"https://radiopaedia.org/courses/x-ray-interpretation-foot-ankle-injuries-peer-review/pages/2033"},{"id":2033,"kind":"Course","title":"X-ray Interpretation: Foot \u0026 Ankle Injuries - page 2033","link":"https://radiopaedia.org/courses/x-ray-interpretation-foot-ankle-injuries/pages/2033"}],"stem":"\u003cp\u003eBased on the Lauge-Hansen classification of ankle fractures, what would be the most likely injury mechanism of this ankle injury?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2547"}],"attemptsPercentages":[{"alternativeId":"12494","percentage":38},{"alternativeId":"12497","percentage":13},{"alternativeId":"12495","percentage":15},{"alternativeId":"12496","percentage":34}],"promptToLogin":false,"questionManager":false,"articleId":"lauge-hansen-classification-of-ankle-injury"}