isolated medial malleolus fracture; isolated lateral malleolus fracture full-length tibia, or proximal tibia, to rule out Maisonneuve-type fracture. of the lower extremity were ordered and they demonstrate a high fibular fracture, i.e. Weber C stage 3 also known as a Maisonneuve fracture. Triplane fracture; Maisonneuve fracture; Tillaux fracture. juvenile Tillaux. Publicationdate October 1, The ankle is the most frequently injured joint.

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Sometimes CT is needed to get a better impression of the size of the fracture fragment of the posterior malleolus.

Knowing the stages of Lauge Hansen this must be a fracture. A subtle high fibula fracture is seen arrow. Often, x-rays of a child with a type I growth plate fracture will appear normal. Final report Weber B fracture.

The Frenchman’s fibular fracture (Maisonneuve fracture).

Example 2 First impression There is a fracture of the posterior malleolus. Stage 2 – Oblique fracture of the medial malleolus.

So even in a Weber C stage 4 sometimes only a fracture of the medial malleolus will be visible. Maisonneuve fracture Lateral Xray of ankle showing fractures NB proximal fibula fracture not shown The Maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane.


The Frenchman’s fibular fracture (Maisonneuve fracture).

According to Lauge-Hansen the fracture results from an exorotation force on the supinated foot. These fractures are also named triplane fractures.

Finally the interosseus membrane will rupture up to the point where the fibular shaft fractures. In the illustration we see the fractures and ligamentous injury on the left and the resulting x-rays on the right. Occurs below the syndesmosis, which is intact. Stages of exorotation injuries of the ankle. First impression The radiographs show a fracture of the posterior malleolus. At first impression there is a Weber B fracture stage 2.

The size of this fragment depends on the direction of the force figure. Enormous forces must have pushed off the medial malleolus.

Fractura de peronĂ© – Wikipedia, la enciclopedia libre

Patient was not treated properly because she was in a remote area. You can help Wikipedia by expanding fractuura. This patient had a twisted ankle and the only abnormality is seen on the lateral view.

Medial soft tissue swelling and a tertius fracture are both indications of a Weber C or Pronation Exorotation injury.

Rupture of the anterior syndesmosis – seen as widening of the space between the distal tibia and fibula lateral clear space. On the lateral view the posterior cortex of the tibia is interrupted indicating a fracture blue arrow. If you would just report this as – a fracture of the posterior malleolus – you would miss the point. Loading Stack – 0 images remaining.


The Ankle and Hindfoot. Proper positioning is essential after a type II growth plate fracture. Classification The fracture starts at the maisonnneuve of the ankle joint and extends proximally, i. This type of injury can be difficult to detect. Additional radiographs of the lower extremity were ordered and they demonstrate a high fibular fracture, i. This can be a stage 2 of a Weber C fracture.

Check for errors and try again. After this re-examination you can make a final report. This is a transsyndesmotic fracture with usually partial – and less commonly, total – rupture of the syndesmosis. She progressed well until 2 months ago when she notes heel deformity and ankle swelling. Continuous force will twist the fibula and displace it distally, while proximally it is fixed to the tibia.

Supramalleolar Osteotomy for Coronal Deformity: