Maisonneuve fracture with an associated distal fibular fracture. A case report.

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Abstract

[Indexed for MEDLINE] 16. JBJS Case Connect. 2023 Jun 1;13(2). doi: 10.2106/JBJS.CC.23.00154. eCollection 2023 Apr 1. Treatment and Outcome of a "Floating Fibula" Injury: A Case Report. Joseph EG(1), Morgan DD(2), Mutty CE(2). Author information: (1)Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee. (2)Department of Orthopaedic Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York. CASE: We report a case of a rare "floating fibula" ankle injury characterized by dislocation of the proximal tibiofibular joint (PTFJ), syndesmosis disruption, complete deltoid disruption, and tibiotalar dislocation without fibula fracture in a 44-year-old man. Imaging includes preoperative and postoperative radiographs and CT scans. Treatment involved reduction and screw fixation of the syndesmosis and PTFJ with planned screw removal. A successful clinical and radiographic outcome was achieved at the 15-month follow-up. CONCLUSION: This case highlights the unique features of the "floating fibula" injury and shows that reduction and intraoperative assessment may be more challenging than a typical Maisonneuve injury. Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated. DOI: 10.2106/JBJS.CC.23.00154