![maisonneuve fracture maisonneuve fracture](https://medpix.nlm.nih.gov/images/full/synpic38620.jpg)
Syndesmotic injury = syndesmotic reduction and fixation.Maisonneuve fracture = syndesmotic injury.High index of suspicion is necessary to diagnose and treat this injury.Patient could be mistakenly treated for having isolated proximal fibular fracture alone, ankle injury is missed.Examine the leg for tenderness in the proximal fibula to diagnose a proximal fibular fracture.Problem in these patients occurs when the ankle injury is presented without a fracture of the lateral malleolus or the medial malleolus and the injury is mistakenly diagnosed as an ankle sprain and the proximal fibular fracture is missed.Maisonneuve fracture involves fracture of the proximal fibula associated with an occult unstable.Maisonneuve fracture ankle fractures posterior malleolus fracture tibiofibular syndesmosis.Courtesy: Prof Nabil EBraheim, University of Toledo, Ohio, USA
![maisonneuve fracture maisonneuve fracture](https://m3.healio.com/~/media/journals/ortho/2014/11_november/10_3928_01477447_20141023_92/fig1.jpg)
Therefore, CT examination is an indispensable part of assessment of this type of fracture. Maisonneuve fracture includes a wide range of injuries both to bone and ligamentous structures of the ankle. Osteochondral fracture of the talar dome was diagnosed in 2 patients and compression of the articular surface of the distal tibia in the region of the fibular notch in 1 patient. A fracture of the posterior malleolus occurred in 54 (77%) patients. A fracture of the medial malleolus was identified in 27 cases (39%) and a complete lesion of the deltoid ligament in 36 cases (51%) in 7 cases (10%) the medial structures were intact. An injury to the anterior and posterior tibiofibular ligaments was found in all 54 patients with open reduction of the distal fibula. Posterior dislocation of the fibula (Bosworth fracture) and tibiofibular diastasis were recorded in 2 cases each. Widening of the tibiofibular clear space was shown by radiographs in 40 cases. In 24% of the patients, the fibular fracture was seen only in the lateral radiograph of the lower leg.
![maisonneuve fracture maisonneuve fracture](https://litfl.com/wp-content/uploads/2019/05/Maisonneuve-Fracture.jpg)
In 64 cases, the fibular fracture was subcapital, and in 6 cases it involved the fibular head. After the age of 50, the share of women significantly increased.
![maisonneuve fracture maisonneuve fracture](http://www.emnote.org/uploads/1/3/5/3/13539988/maisonneuvefracture07_orig.png)
The highest MF incidence rate was recorded in the 5th decade in the whole group and in men, while in women the peak incidence was in the 6th decade. Operative treatment was used in 67 patients open reduction of the distal fibula into the fibular notch was opted for in 54 of them. A total of 59 patients underwent CT examination in three views, including 3D CT reconstruction in 49 of these patients. Ankle radiographs in three views and lower leg radiographs in two views were performed in all patients. The group comprised 70 patients (47 men, 23 women), with the mean age of 48 years, who sustained an ankle fracture-dislocation involving the proximal quarter of the fibula. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. However, details about this type of injury can be found only rarely in the literature. Maisonneuve fracture (MF) is a generally known entity in ankle trauma.