Symmetrical Trimalleolar Fractures of the Bilateral Ankles: A Case Report

Nagasawa, Kazuya

doi:10.4021/jmc440w

Cited by 1 publication

(4 citation statements)

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“…14,17 We found that they are the most commonly reported rotational ankle injuries in literature along with our cases (1,4). 13 Nagasawa et al reported a similar presentation to our case 2 in term of mechanism of injury, however, their patient sustained an SER IV instead. 13 It is originally described that SER IV and PER IV are different from each other in terms of level of fractured fibula being low in SER and higher in PER.…”

Section: Discussionsupporting

confidence: 76%

“…13 Nagasawa et al reported a similar presentation to our case 2 in term of mechanism of injury, however, their patient sustained an SER IV instead. 13 It is originally described that SER IV and PER IV are different from each other in terms of level of fractured fibula being low in SER and higher in PER. [1][2][3] Haraguchi et al found in their biomechanical study that low fibular fracture can be found in reproduced PER mechanism on cadavers.…”

Section: Discussionsupporting

confidence: 76%

“…16 There were only 6 separate cases reported in literature that are similar to our cases in being bilateral rotational type ankle injuries with some of them being identical. [10][11][12][13][14][15] Majority of the cases along with ours, were in fact as result of relatively high mechanism trauma and were associated with rotational injury patterns. This is unexpected especially when the energy absorbed caused symmetrical rotational injuries in contrast to axial type ankle fractures that commonly present as a result of high mechanism trauma.…”

Section: Discussionmentioning

confidence: 51%

“…8,9 Twisting mechanism can lead to multiple variety of injuries such as; Maisonneuve fracture, Tillaux fracture, or Lauge-Hansen classified ankle fractures, of which have been separately reported in literature to present bilaterally. [10][11][12][13][14][15] In this study, we present rare cases of simultaneous bilateral rotational fractures and reviewed similar cases presented in literature and discused the etiological mechanism of the injuries sustained and their presentation.…”

Section: Introductionmentioning

confidence: 98%

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Bilateral simultaneous rotational ankle fractures: case series and literature review

2023

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Bilateral Simultaneous rotational ankle injuries are rare entities with little number of cases reported in literature. Unlike axial type ankle fractures, they tend to happen as a result of pivoting trauma on the supportive limb. We conducted a case series and literature review of patients who presented with simultaneous bilateral ankle injuries and discussed their presentation and imaging. A total of Four cases in our institute and 6 separate cases reported in literature were found who sustained bilateral simultaneous rotational ankle fractures. There were 10 cases, nine of which were simultaneous and symmetrical ankle injuries. Injuries found were; Maisonneuve fracture, Tillaux fracture, Syndesmotic injury, Lauge-Hansen’s supination external rotation (SER), pronation external rotation (PER), supination adduction (SAD), and pronation abduction (PA). Four cases were presented in our institute over the last 10 years. A single case was asymmetrical in nature given the presence of an associated distal tibial metaphyseal fracture. Bilateral rotational ankle injuries are rare entity presenting simultaneously unlike axial type ankle fractures. When they present, they are likely caused by higher mechanism of injury than typical unilateral rotational ankle fractures. SER injuries are the most commonly found mechanism in both unilateral and bilateral ankle injuries.

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