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Patients generally do not report pain near the proximal fibula, so physical examination such as palpation along the fibula is effective for differentiating a Maisonneuve fracture from an isolated syndesmotic injury. [4] Feeling pain near the proximal fibula during palpation is a positive indication of a Maisonneuve fracture. [12]
Le Fort's fracture of the ankle is a vertical fracture of the antero-medial part of the distal fibula with avulsion of the anterior tibiofibular ligament, [1] opposite to a Tillaux-Chaput avulsion fracture. The injury was described by Léon Clément Le Fort in 1886. [2]
The Bosworth fracture is a rare fracture of the distal fibula with an associated fixed posterior dislocation of the proximal fibular fragment which becomes trapped behind the posterior tibial tubercle. The injury is caused by severe external rotation of the ankle. [1]
A tib-fib fracture is a fracture of both the tibia and fibula of the same leg in the same incident. In 78% of cases, a fracture of the fibula is associated with a tibial fracture. [6] Since the fibula is smaller and weaker than the tibia, a force strong enough to fracture the tibia often fractures the fibula as well. Types include:
The Danis–Weber classification (often known just as the Weber classification) is a method of describing ankle fractures. It has three categories: [1] Type A. Fracture of the fibula distal to the syndesmosis (the connection between the distal ends of the tibia and fibula). Typical features: below level of the ankle joint; tibiofibular ...
Transverse comminuted fracture of the fibula above the level of the syndesmosis; Pronation-External rotation: Medial malleolus transverse fracture or disruption of deltoid ligament; Anterior tibiofibular ligament disruption; Lateral short oblique or spiral fracture of fibula (anterosuperior to posteroinferior) above the level of the joint
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A fractured fibula in addition to detaching the medial malleolus will tear the tibiofibular syndesmosis. [2] The combined fracture of the medial malleolus, lateral malleolus, and the posterior margin of the distal end of the tibia is known as a "trimalleolar fracture". [3] An example of Pott's fracture would be in a sports tackling injury.