Maisonneuve fracture: Difference between revisions
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==Background== | ==Background== | ||
* | *Lower extremity equivalent of [[Galeazzi fracture]] | ||
===Components=== | ===Components=== | ||
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==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
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[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 06:47, 13 July 2017
Background
- Lower extremity equivalent of Galeazzi fracture
Components
- Fibula fracture (anywhere from head or as far down as 6cm above ankle joint)
- Deltoid ligament rupture or medial malleolus avulsion fracture
- Injury then directed upward and laterally tearing interosseous membrane and anterior inferior tibiofibular ligament
- May involve posterior tibiofibular ligament or posterior malleolar fracture
Clinical Features
- Results from external rotation force applied to foot
Differential Diagnosis
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Evaluation
- Long leg film that includes ankle
- Increase in medial clear space of ankle joint
- Tibiofibular clear space widened >5mm
- High fibular fracture
- Signs of syndesmotic injury
Management
- Usually requires surgical intervention (sydesmotic screws; proximal fibular fracture usually requires no fixation)
- Long leg posterior splint with reduction of medial ankle and syndesmotic clear space