A 72-year-old patient with bilateral Maisonneuve fractures.
Maisonneuve fractures result from a disruption of the medial ankle structures and a proximal fibular fracture. Patient complaints can be misleading and there is a significant rate of delayed diagnosed injuries. We present a case of bilateral Maisonneuve fractures after a fall due to a syncopal collapse. A precise clinical examination led to this rare diagnosis. The injuries were treated with syndesmotic screw fixation, removal of hardware followed after 6 weeks. The patient was asymptomatic at three-months follow up. Patients with bilateral injuries undergoing standard surgical treatment can gain full recovery, but high suspicion in clinical examination is needed to detect this uncommon bilateral injury.
Department of Orthopaedic Trauma, University of Aachen Medical Center, Aachen, Germany.
Thomas
T
Dienstknecht
Department of Orthopaedic Trauma, University of Aachen Medical Center, Aachen, Germany.
Klemens
K
Horst
Department of Orthopaedic Trauma, University of Aachen Medical Center, Aachen, Germany.
Hans-Christoph
HC
Pape
ankle injury.; bilateral; maisonneuve fracture