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
Keywords
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References
Maisonneuve JP. Recherches sur la Fracture du Perrone. Arch Gen Med 7:165-187, 433-473, 1840
- Eponymic fractures of the ankle.J Foot Ankle Surg. 1993; 32: 239-241
- The Maisonneuve fracture.J Foot Ankle Surg. 1995; 34: 422-428
- Report of the case of a rare pattern of Maisonneuve fracture.J Foot Ankle Surg. 2008; 47: 160-162
- Fractures of ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations.Arch Surg. 1950; 60: 957-985
- Les fractures malleolaires.in: Danis R. Theorie et pratique de l'osteosynthese. Masson, Paris1949: 133-165
- Die Verletzungen des oberen Sprunggelenkes.ed 2. Huber, Bern, Switzerland1972
- The Comprehensive Classification of Fractures of Long Bones.Springer, New York1990
- Ankle fractures: understanding the mechanism of injury is the key to analyzing the radiographs.Emerg Radiol. 1998; 5: 49-60
- Ruptures of the ligaments about the tibio-fibular syndesmosis.Injury. 1983; 15: 170-172
- Syndesmosis sprains of the ankle.Foot Ankle. 1990; 10: 325-330
- Syndesmotic ankle sprains.Am J Sports Med. 1991; 19: 294-298
- The Bosworth ankle fracture (case report).Acta Chir Orthop Traumatol Chech. 2001; 68: 256-260
- Maisonneuve fracture with an associated distal fibular fracture. A case report.Clin Orthop Relat Res. 1995; 317: 193-198
- Maisonneuve fracture equivalent with proximal tibiofibular dislocation. A case report and literature review.J Bone Joint Surg Am. 2006; 88: 111-116
- Maisonneuve fracture associated with a bimalleolar ankle fracture-dislocation: a case report.J Orthop Trauma. 2002; 167: 525-528
- Triplane fracture associated with a proximal third fibula fracture.Am J Orthop. 1996; 256: 449-451
- Outcome after surgery for Maisonneuve fracture of the fibula.Injury. 2004; 35: 791-798
- A sample of Chinese literature. MRI diagnosis of interosseous membrane injury in Maisonneuve fractures of the fibula.Injury. 2000; 31: C107-C110
- Mechanical considerations for the syndesmosis screw: a cadaver study.J Bone Joint Surg Am. 1989; 71: 1548-1555
- Posterior malleolar ankle fractures: an in vitro biomechanical analysis of stability in the loaded and unloaded states.J Orthop Trauma. 1992; 6: 96-101
- Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint: comparison of two fixation techniques.J Orthop Trauma. 1994; 8: 215-219
- Talar shift. The stabilizing role of the medial, lateral and posterior ankle structures.Clin Orthop. 1990; 257: 177-183
- Maisonneuve fractures of the fibula.J Bone Joint Surg Am. 1976; 58: 337-342
Wilson FC. Fractures and dislocations of the ankle. In Fractures in Adults, vol 2, ed 2, p 1674, edited by CA Rockwood, DP Green, Lippincott, Philadelphia, 1984.
- Injuries to the Ankle.Heineman Medical Books, London1950
- The Maisonneuve fracture of the fibula.Clin Orthop Relat Res. 1993; 287: 218-223
Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
