Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 86.e11-86.e17, January 2010

Maisonneuve Fracture without Deltoid Ligament Disruption: A Rare Pattern of Injury

  • Ioannis Charopoulos, MD

      Affiliations

    • Orthopaedic Surgeon, 5th Orthopaedic Department, University of Athens, KAT Hospital, Athens, Greece
    • Corresponding Author InformationAddress correspondence to Ioannis Charopoulos, MD, 5th Orthopaedic Department, Laboratory for Research of Musculoskeletal System, University of Athens, KAT Hospital, 14561 Athens, Greece.
    • ,
  • Constantinos Kokoroghiannis, MD, PhD

      Affiliations

    • Orthopaedic Surgeon, 5th Orthopaedic Department, University of Athens, KAT Hospital, Athens, Greece
    • ,
  • Spyridon Karagiannis, MD

      Affiliations

    • Orthopaedic Surgeon, 5th Orthopaedic Department, University of Athens, KAT Hospital, Athens, Greece
    • ,
  • George P. Lyritis, MD, PhD

      Affiliations

    • Professor in Orthopaedics, Laboratory for Research of Musculoskeletal System, University of Athens, KAT Hospital, Athens, Greece
    • ,
  • Nikolaos Papaioannou, MD, PhD

      Affiliations

    • Professor in Orthopaedics, Laboratory for Research of Musculoskeletal System, University of Athens, KAT Hospital, Athens, Greece

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.

Level of Clinical Evidence: 4

Keywords: ankle, fibula, malleolus, syndesmosis, tibia, trauma

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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00422-0

doi:10.1053/j.jfas.2009.10.001

Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 86.e11-86.e17, January 2010

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