Document Detail

Lateral ankle fracture with missed proximal tibiofibular joint instability (Maisonneuve injury).
MedLine Citation:
PMID:  18712356     Owner:  NLM     Status:  MEDLINE    
We present a case of a soccer player who sustained a lateral ankle fracture and the associated proximal anterolateral tibiofibular joint instability (Maisonneuve injury) was overlooked. After a non-contact injury the (incomplete) diagnosis of a lateral malleolar fracture (type Weber B, AO 44-B1) was made and the patient was surgically treated with open reduction and internal fixation including a distal syndesmosis screw. After removal of the syndesmosis screw (six weeks after surgery) the patient suffered from activity-related pain around the fibular head. After thorough clinical and radiologic examination, temporary screw transfixation of the fibular head and capsular repair under meticulous fluoroscopic control of fibular rotation helped to restore patient's sport activity level. This case report emphasizes the importance of precise clinical examination for detection of a proximal tibiofibular joint instability. Restoration of a well functioning and stable proximal tibiofibular joint may be difficult to achieve in previously operated and missed instabilities.
Michael T Hirschmann; Christian Mauch; Claude Mueller; Werner Mueller; Niklaus F Friederich
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-08-19
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  16     ISSN:  0942-2056     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-01     Completed Date:  2009-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  952-6     Citation Subset:  IM    
Department of Orthopaedic Surgery and Traumatology, Kantonsspital Bruderholz, 4101 Bruderholz, Switzerland.
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MeSH Terms
Ankle Injuries / complications*,  surgery
Athletic Injuries / complications*,  surgery*
Bone Screws
Fibula / surgery
Fracture Fixation, Internal
Joint Instability / diagnosis
Knee Dislocation / complications*,  diagnosis,  surgery
Tibia / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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