Maisonneuve fracture: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
*Long leg film that includes ankle | |||
**Increase in medial clear space of ankle joint | |||
**Tibiofibular clear space widened >5mm | |||
**High fibular fracture | |||
*Signs of syndesmotic injury | |||
[[File:Maisonneuve fracture.jpg|thumb|Maisonneuve fracture]] | [[File:Maisonneuve fracture.jpg|thumb|Maisonneuve fracture]] | ||
Revision as of 06:11, 11 February 2016
Background
- Results from external rotation force applied to foot
- Leg equivalent of Galeazzi fracture
- 3 components:
- 1. Fibula fracture (anywhere from head or as far down as 6cm above ankle joint)
- 2. Deltoid ligament rupture or medial malleolus fracture
- 3. Injury then directed upward and laterally tearing interosseous membrane
Diagnosis
- Long leg film that includes ankle
- Increase in medial clear space of ankle joint
- Tibiofibular clear space widened >5mm
- High fibular fracture
- Signs of syndesmotic injury
Differential Diagnosis
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Treatment
- Usually requires surgical intervention
- Long leg posterior splint until further f/u
See Also
Source
- Tintinalli