title: A unique closed abduction-external rotation ankle fracture.
abstract: A unique closed abduction-external rotation ankle fracture with a combined medial malleolar fracture and avulsion of the deltoid ligament is presented. Thorough literature search has not revealed a similar case. This report is well documented with an operative photograph, radiographs, and a 20-month followup. A mechanical basis for such an injury pattern is described. The magnitude and complexity of the injuring forces applied to the ankle region in road trauma may lead--as in this presentation--to unusual injury combinations.
authors.affiliation: Accident & Emergency Department, St. James's Hospital, Dublin, Ireland.
authors.forename: C
authors.initials: C
authors.lastname: O'Leary
authors.forename: F J
authors.initials: FJ
authors.lastname: Ward
mesh_terms: D000328:Adult; D016512:Ankle Injuries; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery