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Orthopaedic Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Examine the ankle as before to localize the maximum area of tenderness. Palpate the upper fibula for pain suggesting a high, oblique fracture (Maisonneuve) in addition.The Maisonneuve fracture is a rare, unstable ankle injury associated with a widened ankle mortice and tibiofibular diastasis from tearing of the syndesmosis.
Extended matching item (EMI)
Published in Tristan Barrett, Nadeem Shaida, Ashley Shaw, Adrian K. Dixon, Radiology for Undergraduate Finals and Foundation Years, 2018
Tristan Barrett, Nadeem Shaida, Ashley Shaw, Adrian K. Dixon
The fibula and tibia essentially form a ring, thus an external rotation injury that results in a fracture of the distal tibia may also result in a fracture of the proximal fibula. The latter may be over-looked as the symptoms are centred on the ankle. Such a fracture combination is known as a ‘Maisonneuve’ fracture.
Musculoskeletal system
Published in David A Lisle, Imaging for Students, 2012
Isolated fracture of the shaft of the fibula may occur secondary to direct trauma. More commonly, fracture of the upper fibula is associated with disruption of the syndesmosis between the distal tibia and fibula (Maisonneuve fracture).
Randomized trial comparing suture button with single 3.5 mm syndesmotic screw for ankle syndesmosis injury: similar results at 2 years
Published in Acta Orthopaedica, 2020
Benedikte Wendt Ræder, Ingrid Kvello Stake, Jan Erik Madsen, Frede Frihagen, Silje Berild Jacobsen, Mette Renate Andersen, Wender Figved
At 2 years, 30 patients in the SB group and 27 patients in the TS group had radiological signs of ankle OA (RR 1.1, CI 0.7–1.7). When analyzing for advanced OA, there was a difference between the groups at 2 years: 8 patients in the SB group and 1 patient in the TS group had advanced OA (RR 8, CI 1–60). The groups displayed similar results when analyzing presence of talar osteophytes at 2 years: 12 in the SB group and 7 in the TS group (p = 0.3). At 2 years, 0 patients in the SB group and 5 patients in the TS group had complete synostosis (p = 0.03) (Figure 4, see Supplementary data). When stratifying the complete cohort at 2 years according to fracture pattern, patients with a Maisonneuve fracture had less OA (15 vs. 42, RR 0.7, CI 0.4–1.0), patients with a trimalleolar fracture had more OA (19 vs. 38, RR 1.6, CI 1.2–2.1).