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Maisonneuve fracture

Stauch CS - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Maisonneuve fracture

History: This is a 26 yo man who “twisted” his right ankle while playing basketball. He stepped on another player’s foot. He was unable to walk initially due to pain and felt his ankle was very unstable.

Findings: Anteroposterior (A-P), lateral and mortise radiographs and coned down A-P radiograph of the right ankle through a plaster cast show widening of the tibiotalar and talofibular joints without evidence of cortical abnormality to any of the 3 bones. There also appears to be widening of the distal tibiofibular syndesmosis. Soft tissue swelling around the medial and lateral malleoli is also present. Due to the plaster cast, trabecular detail may not be adequately defined. AP and lateral radiographs of the right lower leg show a spiral fracture of the proximal third of the fibular diaphysis. Due to the plaster cast, osseous abnormalities may be missed. Follow-up AP and lateral radiographs of the right lower show a syndesmotic screw through the distal metaphysis of the fibula pinning it to the tibia. There is evidence of some healing of the proximal fibular spiral fracture.

Ddx: Maisonneuve fracture

Dxhow: Radiographs

Exam: Normal vital signs. Tender, erythematous, edematous, and ecchymosed right ankle. Decreased range of motion due to pain. Still unable to bear weight.

No MeSH data available.


AP and lateral radiographs of the right lower leg show a spiral fracture of the proximal third of the fibular diaphysis.  Due to the plaster cast, osseous abnormalities may be missed.
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MPX1850_synpic38623: AP and lateral radiographs of the right lower leg show a spiral fracture of the proximal third of the fibular diaphysis. Due to the plaster cast, osseous abnormalities may be missed.


Maisonneuve fracture

Stauch CS - MedPix (2008)

AP and lateral radiographs of the right lower leg show a spiral fracture of the proximal third of the fibular diaphysis.  Due to the plaster cast, osseous abnormalities may be missed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1850&req=5

MPX1850_synpic38623: AP and lateral radiographs of the right lower leg show a spiral fracture of the proximal third of the fibular diaphysis. Due to the plaster cast, osseous abnormalities may be missed.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Maisonneuve fracture

History: This is a 26 yo man who “twisted” his right ankle while playing basketball. He stepped on another player’s foot. He was unable to walk initially due to pain and felt his ankle was very unstable.

Findings: Anteroposterior (A-P), lateral and mortise radiographs and coned down A-P radiograph of the right ankle through a plaster cast show widening of the tibiotalar and talofibular joints without evidence of cortical abnormality to any of the 3 bones. There also appears to be widening of the distal tibiofibular syndesmosis. Soft tissue swelling around the medial and lateral malleoli is also present. Due to the plaster cast, trabecular detail may not be adequately defined. AP and lateral radiographs of the right lower leg show a spiral fracture of the proximal third of the fibular diaphysis. Due to the plaster cast, osseous abnormalities may be missed. Follow-up AP and lateral radiographs of the right lower show a syndesmotic screw through the distal metaphysis of the fibula pinning it to the tibia. There is evidence of some healing of the proximal fibular spiral fracture.

Ddx: Maisonneuve fracture

Dxhow: Radiographs

Exam: Normal vital signs. Tender, erythematous, edematous, and ecchymosed right ankle. Decreased range of motion due to pain. Still unable to bear weight.

No MeSH data available.