Maisonneuve fracture: Difference between revisions

Revision as of 21:44, 13 February 2012

Results from external rotation force applied to foot
Leg equivalent of Galeazzi fracture
3 components:
- 1. Plane of injury starts at medial ankle as deltoid ligament rupture or medial mal fx
- 2. Injury then directed upward and laterally tearing interosseous membrane
- 3. Fibula fracture (anywhere from head or as far down as 6cm above ankle joint)

Authors:

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 ==Background==
-*Medial malleolar Fx or complete deltoid ligament tear, syndesmotic ligament tear, and proximal fibular Fx
+*Results from external rotation force applied to foot
+*Leg equivalent of Galeazzi fracture
-==Diagnosis==
+*3 components:
-*prox fibular Fx can also damage the common peroneal nerve which supplies tibialis anterior and sensation to the first web space.
+**1. Plane of injury starts at medial ankle as deltoid ligament rupture or medial mal fx
+**2. Injury then directed upward and laterally tearing interosseous membrane
+**3. Fibula fracture (anywhere from head or as far down as 6cm above ankle joint)
 ==Treatment==
-*can be treated without surgery if mortise is intact, but usually requires a syndesmotic screw. diastasis on plain films indicates an unstable mortise and surgical repair required.
+*Usually requires surgical intervention
 ==See Also==
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 *[[Ottowa Ankle Rules]]
 *[[Pilon Fracture]]
+==Source==
+*Tintinalli
 [[Category:Ortho]]