Maisonneuve fracture of the fibula: implications for imaging ankle injury.

Hanson, James A.; Fotoohi, M; Wilson, AJ

doi:10.2214/ajr.173.3.10470907

Cited by 15 publications

(2 citation statements)

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“…There were no studies included in this rapid review that provided high level evidence on the importance of assessing structures proximal to the ankle joint. Palpation of the full length of the fibula, and subsequent radiographs of the proximal tibiofibular joint should be conducted, where indicated, to rule out fractures that can be associated with an unstable ankle injury involving disruption of the medial ligaments, syndesmosis and the interosseous membrane distally . Clinicians should be suspicious of a Maisonneuve fracture pattern when there is an isolated fracture of the posterior tibial tubercle, evidence of deltoid ligament disruption or fracture of the medial malleolus in the absence of a lateral malleolar fracture, or if there is tenderness over the anteromedial capsule of the syndesmosis or the syndesmosis itself .…”

Section: Discussionmentioning

confidence: 99%

Review article: Best practice management of common ankle and foot injuries in the emergency department (part 2 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2017

Emerg Medicine Australasia

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Ankle and foot injuries are the most common musculoskeletal injuries presenting to Australian EDs and are associated with a large societal and economic impact. The quality of ED care provided to patients with ankle and foot fractures or soft tissue injuries is critical to ensure the best possible outcomes for the patient. This rapid review investigated best practice for the assessment and management of common ankle and foot injuries in the ED. Databases including PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites, were searched in 2017. Primary studies, systematic reviews and guidelines were considered for inclusion. English language articles published in the last 12 years that addressed the acute assessment, management or prognosis in the ED were included. Data extraction of included articles was conducted, followed by quality appraisal to rate the level of evidence where possible. The search revealed 1242 articles, of which 71 were included in the review (n = 22 primary articles, n = 35 systematic reviews and n = 14 guidelines). This rapid review provides clinicians managing fractures and soft tissue injuries of the ankle and foot in the ED a summary of the best available evidence to enhance the quality of care for optimal patient outcomes. Following a thorough history and physical examination, including the application of the Ottawa ankle rules, ED clinicians should not only provide a diagnosis, but rate the severity of soft tissue injuries, or stability of fractures and dislocations, which are the pivotal decision points in guiding ED treatment, specialist referral and the follow-up plan.

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Section: Discussionmentioning

confidence: 99%

Review article: Best practice management of common ankle and foot injuries in the emergency department (part 2 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2017

Emerg Medicine Australasia

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“…Maisonneuve fractures may be missed as patient and physicians focus attention on the ankle as the major site of complaint and patients may not complain of pain upon palpation of the proximal fibula [ 16 ]. Maisonneuve fractures should be suspected whenever there is lateral talar displacement or tibiofibular widening without distal fibular fracture [ 19 ]. In these cases, stress radiographs and full-length tibiofibular radiographs should be obtained [ 20 ].…”

Section: Review: Lower Extremity Fracture Eponymsmentioning

confidence: 99%

What’s in a name? Lower extremity fracture eponyms (Part 2)

et al. 2015

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Eponymous extremity fractures are commonly encountered in the emergency setting. Correct eponym usage allows rapid, succinct communication of complex injuries. We review both common and less frequently encountered extremity fracture eponyms, focusing on imaging features to identify and differentiate these injuries. We focus on plain radiographic findings, with supporting computed tomography (CT) images. For each injury, important radiologic descriptors are discussed which may need to be communicated to clinicians. Aspects of management and follow-up imaging recommendations are included. This is a two-part review: Part 1 focuses on fracture eponyms of the upper extremity, while Part 2 encompasses fracture eponyms of the lower extremity.

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Ankle Fractures

Kleweno

Rodriguez

2012

Orthopedic Traumatology

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Maisonneuve fracture of the fibula: implications for imaging ankle injury.

Cited by 15 publications

References 0 publications

Review article: Best practice management of common ankle and foot injuries in the emergency department (part 2 of the musculoskeletal injuries rapid review series)

Review article: Best practice management of common ankle and foot injuries in the emergency department (part 2 of the musculoskeletal injuries rapid review series)

What’s in a name? Lower extremity fracture eponyms (Part 2)

Ankle Fractures

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