$maisonneuve fracture$

A reduction tenaculum was used to close down. After localization under fluoroscopy a stab incision was made laterally over the fibula and medially over the medial malleolus. Closed reduction and percutaneous screw placement. Radiologists should recommend radiographic evaluation of the entire tibia and fibula to confirm the proximal extent of the injury. Patient found to have posterior malleolus fracture with widening at the medial joint space and proximal fibula fracture. Therefore, recognizing the injury pattern of Maisonneuve fracture from ankle radiographs is important for a correct diagnosis. Early operative treatment is recommended for the majority of patients with Maisonneuve fracture. The diagnosis is often delayed or missed because the patients rarely report pain in the proximal fibula most likely due to the presence of a more painful ankle injury. Maisonneuve fracture is considered as a severe ankle injury with syndesmotic disruption. Lack of overlap of the distal fibula with the tibial tuberosity is a helpful sign for syndesmotic injury. Stress radiography of the ankle may help for subtle cases of medial clear space widening. On such occasions, full-length views of the tibia and fibula should be obtained to identify the high fibular fracture. The diagnosis of a Maisonneuve fracture should be considered in each of the following situations: (1) widening of the medial or lateral clear space without evident fracture (Figure 63.1) (2) an apparent isolated displaced fracture of the medial malleolus and (3) an apparent isolated fracture of the posterior malleolus (Figure 63.2). Maisonneuve fracture ankle fractures posterior malleolus fracture tibiofibular syndesmosis.Maisonneuve fracture has been described for the ankle injury characterized by a high fibular fracture with disruption of the tibiofibular syndesmosis. Therefore, CT examination is an indispensable part of assessment of this type of fracture. Maisonneuve fracture includes a wide range of injuries both to bone and ligamentous structures of the ankle. Osteochondral fracture of the talar dome was diagnosed in 2 patients and compression of the articular surface of the distal tibia in the region of the fibular notch in 1 patient. A fracture of the posterior malleolus occurred in 54 (77%) patients. According to classification of fibula injuries by mechanism of injury, the Maisonneuve fracture is due to external rotation of the foot relative to the tibia. A fracture of the medial malleolus was identified in 27 cases (39%) and a complete lesion of the deltoid ligament in 36 cases (51%) in 7 cases (10%) the medial structures were intact. An injury to the anterior and posterior tibiofibular ligaments was found in all 54 patients with open reduction of the distal fibula. The Maisonneuve fracture consists of a proximal fibular fracture with associated syndesmotic ligament disruption and injury to the medial ankle structures. Posterior dislocation of the fibula (Bosworth fracture) and tibiofibular diastasis were recorded in 2 cases each. Widening of the tibiofibular clear space was shown by radiographs in 40 cases. In 24% of the patients, the fibular fracture was seen only in the lateral radiograph of the lower leg. In 64 cases, the fibular fracture was subcapital, and in 6 cases it involved the fibular head. After the age of 50, the share of women significantly increased. We report a rare injury involving fracture of the proximal. The highest MF incidence rate was recorded in the 5th decade in the whole group and in men, while in women the peak incidence was in the 6th decade. The Maisonneuve fracture is considered by many to be one of the most unstable ankle injuries. Operative treatment was used in 67 patients open reduction of the distal fibula into the fibular notch was opted for in 54 of them. A total of 59 patients underwent CT examination in three views, including 3D CT reconstruction in 49 of these patients. Ankle radiographs in three views and lower leg radiographs in two views were performed in all patients. The group comprised 70 patients (47 men, 23 women), with the mean age of 48 years, who sustained an ankle fracture-dislocation involving the proximal quarter of the fibula. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy.

$maisonneuve fracture$

However, details about this type of injury can be found only rarely in the literature. Maisonneuve fracture (MF) is a generally known entity in ankle trauma.

$maisonneuve fracture$