title: Maisonneuve fracture with an associated distal fibular fracture. A case report.
abstract: 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.
authors.affiliation: US Air Force Medical Corps, Department of Orthopedics, USAF Medical Center, Scott Air Force Base, IL, USA.
authors.forename: D P
authors.initials: DP
authors.lastname: Slawski
authors.forename: C
authors.initials: C
authors.lastname: West
mesh_terms: D016512:Ankle Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001863:Bone Screws; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011859:Radiography