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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In many cases there is only minimal or no displacement. Especially the medial swelling should make you consider a pronation exorotation injury Weber C.

This example is an every day case. Weber B starts anterolaterally and the sequence is: Do you have an idea what kind of injury this is? Loading Stack – 0 images remaining. Type III is a fracture through the growth plate and epiphysis sparing the metaphysis.

Stage 1 The images show the usual Weber type A fractures. The bright line on the AP-view indicates a large tertius fracture fragment.

The tibial fracture is vertical or oblique, because it is a push-off fracture. There is still the possibility of a Weber C fracture stage 4, i.

Ankle Fractures – Trauma – Orthobullets

Isolated fracture of the medial malleolus Isolated fracture of the posterior malleolus without a fracture on the lateral side Any maiaonneuve swelling or hematoma on the medial side without a fracture on the radiographs. Due to the pronation, the lateral ligaments are not under tension and the fibula can move away from the tibia. Continue with the CT. When we study the radiographs of a patient with an ankle fracura, we have to study the region of the posterior malleolus very carefully.


Another Tillaux in a patient with a strange combination of findings.

Ankle – Special fracture cases

She progressed well until 2 months ago when she notes heel deformity and ankle swelling. At first impression there is a Weber B fracture stage 2. Knowing the stages of Lauge Hansen this must be a fracture.

The radiographs show a typical Weber B fracture. Finally the interosseus membrane will rupture up to the point where the fibular shaft fractures. In many cases it is visible on the radiographs of the ankle, se in some cases the fracture is located high and will only be visible on a radiograph of the lower leg. HPI – Heavy weight injury 18 days ago, immediate pain, swelling ; diagnosed with left ankle fracture.

The lateral malleolus is ‘pushed off’ from anterior to posterior. Example 1 On the left images of a patient with a hematoma on the medial side.

Although the patient is already in a cast you order additional films to look for a possible stage 3. A type II growth plate maionneuve starts across the growth plate, but the fracture then continues up through the metaphysis.


Fractura de peroné

Views Read Edit View history. This was thought to be an avulsion of the posterior malleolus. Pronation Exorotation injury stage 4. We have to assume that there is an epiphysiolysis of this lateral portion. Fibular plating with open correction of plafond impaction with medial malleolar antiglide plate.

A radiograph of her ankle is shown in Figure A. This mxisonneuve stage 2. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament. Rib fracture Sternal fracture. An AP and lateral radiograph are shown in figures A and B respectively. The Lauge-Hansen classification will give you the fracture mechanism and the preliminary stage of the ankle injury.