title: Maisonneuve fracture without deltoid ligament disruption: a rare pattern of injury.
abstract: The Maisonneuve fracture is considered by many to be one of the most unstable ankle injuries. We report a rare injury involving fracture of the proximal fibula in association with a posterior malleolar fracture and disruption of the anterior-inferior tibiofibular ligament, without disruption of the deltoid ligament or fracture of the medial malleolus. This report of a diagnostically challenging case highlights the importance of timely clinical and radiographic reassessment of a patient who fails to improve with initial therapy, and describes the clinical and diagnostic imaging findings of an unusual ankle injury.
authors.affiliation: 5th Orthopaedic Department, University of Athens, KAT Hospital, Athens, Greece. jcharopoylos@yahoo.com
authors.forename: Ioannis
authors.initials: I
authors.lastname: Charopoulos
authors.forename: Constantinos
authors.initials: C
authors.lastname: Kokoroghiannis
authors.forename: Spyridon
authors.initials: S
authors.lastname: Karagiannis
authors.forename: George P
authors.initials: GP
authors.lastname: Lyritis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Papaioannou
mesh_terms: D000368:Aged; D016512:Ankle Injuries / Q000175:diagnosis* / Q000628:therapy; D002370:Casts, Surgical; D005360:Fibula / Q000293:injuries* / Q000473:pathology; D050723:Fractures, Bone / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007103:Immobilization; D008023:Ligaments, Articular / Q000293:injuries / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D012421:Rupture