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Age / Sex : 53 / M
Chief complaint : Ankle pain after falling down
1) What is the name of the injury that is suspected in this patient?
2) What should be the next imaging study?
What is your diagnosis?
Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)
Courtesy : 강유선 (Yusuhn Kang), 분당서울대학교병원 (Seoul National University Bundang Hospital)
Diagnosis: 1) Maisonneuve fracture, 2) Lower leg radiograph/X-ray
Discussion
Maisonneuve fracture
1. fracture of the proximal fibula that is combined with rupture of the anterior tibiofibular ligament and the interosseous membrane
2. commonly associated fractures of the posterior malleolus, the medial malleolus, and the anterolateral distal tibia
3. result from external rotation force to the ankle with transmission of the force through the interosseous membrane, which in turn, exits through the proximal fibular fracture.
References
1. Kalyani BS, Roberts CS, Giannoudis PV. The Maisonneuve injury: a comprehensive review. Orthopedics. 2010;33(3):190-195. doi:10.3928/01477447-20100129-25
2. https://www.wheelessonline.com/bones/maisonneuve-fracture/
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