Tibial shaft fracture and ankle joint injury.

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Abstract

[Indexed for MEDLINE] 15. Clin Orthop Relat Res. 1995 Aug;(317):193-8. Maisonneuve fracture with an associated distal fibular fracture. A case report. Slawski DP(1), West C. Author information: (1)US Air Force Medical Corps, Department of Orthopedics, USAF Medical Center, Scott Air Force Base, IL, USA. A 46-year-old woman had a severe torsional injury to her left leg. Admission radiographs showed a proximal Maisonneuve-type fibular fracture with an associated distal fibular fracture at the level of the distal tibiofibular syndesmosis. A complete syndesmotic disruption, proximal and distal to the distal fibular fracture, was verified at surgical exploration as was a complete deltoid ligament tear. Management consisted of internal fixation of the distal fibular fracture and placement of a syndesmotic screw. At 1-year followup, the patient reported normal ankle function. This case represents an unusual, and perhaps previously undescribed, variant of the so-called Maisonneuve fracture. The need for careful evaluation of the entire leg in torsional injuries of the ankle is underscored by the injury presented.