$maisonneuve fracture management$

$maisonneuve fracture management$

The patient was informed that data concerning this case would be submitted for publication. To our knowledge, this variant of a Maisonneuve fracture has not been reported. The patient was treated with nonoperative management and successfully returned to his sport and daily life activity. In this article, we report a case only involving proximal fibular fracture and avulsion fracture of the anterior tibia without disrupting the medial or posterior structures. Nonoperative treatment of this type of fracture has been rarely reported in the literature. The selection of treatment options should be based on careful examination and radiological evaluation of the ankle.Īvulsion fracture of the anterior tibia with proximal fibular fracture commonly occurs in Maisonneuve fracture, which generally involves ankle instability and requires surgical correction. Nonoperative management was performed and successful recovery was observed at a 6-month follow-up.Ĭonclusions: Nonoperative management can be a better option for some variations of Maisonneuve fracture with a stable ankle joint. Preoperative plain x-ray image, computed tomography, and magnetic resonance imaging revealed an avulsion fracture of the anterior tibia by the anterior inferior tibiofibular ligament without medial and posterior fracture, rupture of the deltoid ligament, or interosseous membrane. Physical examination revealed tenderness and swelling of the lateral aspects of the left ankle, as well as the proximal aspect of the fibula. Nonoperative treatment of this type of fracture has been rarely reported in the literature.Ĭase presentation: A 48-year-old male reported pain in the lateral part of his left lower leg and ankle during a badminton play. Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, Chinaīackground: Avulsion fracture of the anterior tibia with proximal fibular fracture commonly occurs in Maisonneuve fracture, which generally involves ankle instability and requires surgical correction.Jian Yu, Chao Zhang, Xu Wang, Xin Ma* † and Jiazhang Huang* †

$maisonneuve fracture management$

Maisonneuve fracture management