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Lauge Hansen Stage IV Supination-External Rotation Fracture

Storm ESS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Lauge Hansen Stage IV Supination-External Rotation Fracture

History: 14 year-old adolescent who twisted ankle after jumping off curb.

Findings: There is an obliquely-oriented, comminuted fracture through the distal fibula, nondisplaced medial malleolar fracture, and obvious external rotation / disloctation of the talus with respect to the mortise. A posterior tibia fracture is also suggested on the lateral view, although position is admittedly suboptimal.

Ddx: Ankle Fracture-Dislocation

Dxhow: Radiographic Diagnosis

Exam: Gross deformation of the right ankle, swelling, ecchymosis, instability and pain.

No MeSH data available.


Mortise view (inadvertant - attempted AP?) of the right ankle demonstrates swelling and gross deformity with talar dislocation and external rotation.  Note fracures of fibula and medial malleolus.  There is complete or near-complete ligamentous disruption, to include the syndesmosis.
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MPX2559_synpic21523: Mortise view (inadvertant - attempted AP?) of the right ankle demonstrates swelling and gross deformity with talar dislocation and external rotation. Note fracures of fibula and medial malleolus. There is complete or near-complete ligamentous disruption, to include the syndesmosis.


Lauge Hansen Stage IV Supination-External Rotation Fracture

Storm ESS - MedPix

Mortise view (inadvertant - attempted AP?) of the right ankle demonstrates swelling and gross deformity with talar dislocation and external rotation.  Note fracures of fibula and medial malleolus.  There is complete or near-complete ligamentous disruption, to include the syndesmosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=MPX2559&req=5

MPX2559_synpic21523: Mortise view (inadvertant - attempted AP?) of the right ankle demonstrates swelling and gross deformity with talar dislocation and external rotation. Note fracures of fibula and medial malleolus. There is complete or near-complete ligamentous disruption, to include the syndesmosis.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Lauge Hansen Stage IV Supination-External Rotation Fracture

History: 14 year-old adolescent who twisted ankle after jumping off curb.

Findings: There is an obliquely-oriented, comminuted fracture through the distal fibula, nondisplaced medial malleolar fracture, and obvious external rotation / disloctation of the talus with respect to the mortise. A posterior tibia fracture is also suggested on the lateral view, although position is admittedly suboptimal.

Ddx: Ankle Fracture-Dislocation

Dxhow: Radiographic Diagnosis

Exam: Gross deformation of the right ankle, swelling, ecchymosis, instability and pain.

No MeSH data available.