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Maisonneuve Fracture - Symptoms and Treatment

Maisonneuve fracture is a spiral fracture of the upper third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament. This type of injury can be difficult to detect. The Maisonneuve fracture is similar to the Galeazzi and Monteggia fractures. The fracture is named after the surgeon, Jules Germain François Maisonneuve.

Maisonneuve fractures and syndesmosis injuries occur most often in athletes. The foot is planted on the ground and the lower leg rotates around it. The force of the injury is translated through the interosseus membrane, travels up the leg, and exits through the top of the bone. The result is a proximal fibular fracture. With a Maisonneuve fracture, there can even be a fracture of the tibia (the other lower leg bone) at the bottom near the ankle. It's important to rule out a Maisonneuve fracture with traumatic ankle injuries. An X-ray is needed to do this.












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