Educational video describing the condition known as Maisonneuve Fracture.
Maisonneuve Fracture involves fracture of the proximal fibula associated with an occult injury of the ankle. The patient could be mistakenly treated for having either:
1-Proximal fibular fracture alone: ankle injury is missed.
2-Sprain of the ankle joint : proximal fibular fracture is missed.
High index of suspicion is necessary to diagnose and treat this injury.
Long leg film that includes the ankle is mandatory in cases of
•Patient with proximal fibular fracture to exclude the presence of ankle injury.
•Unexplained increase in the medial clear space of the ankl joint to diagnose the presence of a high fibular fracture.
Look for signs of syndesmotic injury:
1-Unexplained increase in medial clear space.
2-Tibiofibular clear space is widened (should be less than 5 mm).
Treatment
Fixation: syndesmotic screws.
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