![]() ![]() Engaging in high-intensity sports or falling over can increase the risk of tearing the deltoid ligament or cause an avulsion fracture of the medial malleolus from external rotation of the foot. Cause įorceful, external rotation of the ankle joint is the main cause of a Maisonneuve fracture. The fracture is named after the surgeon Jules Germain François Maisonneuve. ![]() The Maisonneuve fracture is similar to the Galeazzi fracture in the sense that there is an important ligamentous disruption in association with the fracture. It is also classified as a Type C ankle fracture according to the Danis-Weber classification system. Due to this, the Maisonneuve fracture is described as a pronation- external rotation injury according to the Lauge-Hansen classification system. The Maisonneuve fracture is typically a result of excessive, external rotative force being applied to the deltoid and syndesmotic ligaments. This type of injury can be difficult to detect. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament of the ankle. The Maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. Isolated tibiofibular syndesmosis injury, isolated fibula fracture Physical examination, radiography, X-ray, CT, MRI, arthroscopy Sporting injuries, falls, motor vehicle accidents Swelling around medial and lateral sides of ankle joint, pain during external rotation of foot You can gain them back in the affected limb through exercise and various other treatments.Radiograph showing a Maisonneuve fracture of the proximal fibula Because of wearing a cast, you’ll likely lose some strength and range of motion. ![]() Physical therapy can be another important part of healing your fracture. As a result, acetaminophen with codeine is more commonly prescribed. Ibuprofen (Advil) and other nonsteroidal anti-inflammatory drugs have been shown to slow down the healing process. It will be removed after a period of a few weeks.Įspecially in the case of surgery, recovery can be rather painful. Recovery from surgeryĪfter an open reduction surgery, a cast is usually applied to the limb. Your doctor then realigns the broken bone and sets it in place with either rods, pins, or screws, all of which can be permanent or temporary. For example, if there is damage to the surrounding muscles or blood vessels, your doctor also evaluates and treat these injuries. Next, your doctor opens up the affected area to set the parts of the bone in place.ĭuring the operation, your doctor continues to assess the severity of the injury. In this procedure, you are put under general anesthesia. Your doctor will perform what is known as an open reduction surgery. Treatment for a displaced spiral fractureīecause of the jagged bones that characterize a displaced spiral fracture, more often than not surgery is required for treatment. A stable fracture is generally more common in children. If the spiral fracture is stable, treatment will usually involve keeping the bone immobilized with a cast for a period of four to six weeks. For these reasons, treatment will depend on the severity of the break and whether the bone is displaced or stable. ![]() It’s also possible that the injury results in detached bone fragments, which can make treatment even more difficult. Because of the way in which a spiral fracture occurs, the resulting broken bone usually has jagged edges. ![]()
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