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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This page was last edited on 21 Mayat The radiographs shows a Weber C fracture.
The lateral malleolus cannot move away without breaking. The diagnosis as well as the treatment is usually no problem. The fracture through the growth plate is only seen on CT. The lateral side is under extreme tension with stretch on the ligaments which results in an avulsion fracture. It is important to find these fractures, since a tertius fracture can be the only clue to an unstable ankle injury.
Fractura de peroné
His radiograph is shown in figure A. Notice that all 4 stages are visible: So even in a Weber C stage 4 sometimes only a fracture of the medial malleolus will be visible. So we have to re-examine the films to look for maisonnduve of a Weber B or C fracture. More on the ring of the ankle and instability.
This woman had a distortion of the ankle and had pain on both medial and lateral side. Example 1 On the left images of a patient with a hematoma on the medial side.
What is an advantage of using lateral neutralization plating instead of posterior antiglide plating? Open reduction and internal fixation with restricted weight bearing for 12 weeks. Weber classified them as: Stage 1 is usually not visible on x-rays. As a result more rotation of the talus will fracture the fibula in an oblique or spiral fashion because the lateral malleolus is pushed off from anteromedially to posterolaterally.
The injury can continue to the following: Since there is no fibula fracture seen on the x-rays of the ankle, there must be a high fibular fracture.
This is stage 2 and we have to assume, that the anterior syndesmosis is ruptured.
It is actually a Salter-Harris type IV. An isolated tertius fracture on the ankle radiographs indicates the presence of an unstable ankle injury. This case illustrates the importance of medial soft tissue swelling aswell as the finding of a tertius fracture.
Fractura de peroné – Wikipedia, la enciclopedia libre
Maisonneuve fracture Maisonneive Fort fracture of ankle Bosworth fracture. Stage Stage 3 More posterior displacement of the lateral malleolus fragment by the talus results in tension on the posterior syndesmosis with rupture or avulsion of the posterior malleolus. Continue with the CT and be amazed.
Lateral Xray of ankle showing fractures NB proximal fibula fracture not shown.
The medial clear space is only slightly widened, maisonnwuve based on the stages of Lauge Hansen there must be a collateral band rupture. HPI – Heavy weight injury 18 days ago, immediate pain, swelling ; diagnosed with left ankle fracture. What structure is most likely preventing reduction?
Most type I growth plate injuries are treated with a cast. Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture. Supination – Adduction Fractyra.
Ankle fracture – Weber and Lauge-Hansen Classification
Example 4 Basic interpretation Fracture of the lateral malleolus starting anteriorly at the level of the joint extending proximally posteriorly. This is always above the level of the syndesmosis. According to Lauge-Hansen the fracture results from an exorotation force on the pronated foot.
This patient had a twisted ankle and the only abnormality is seen on the lateral view. There is still the possibility of a Weber C fracture, i. Diagnosis, Reduction, and Fixatio Fibular plating with open correction of plafond impaction with medial malleolar antiglide plate. The tibial fracture is vertical or oblique, because it is a push-off fracture.