see: [[Ottawa Ankle Rule]] see also: [Dunn - Fractures with names](x-devonthink-item://1DBBBDE0-C581-4074-9373-B9096BBD7254), [Rosen - ankle and foot fractures](x-devonthink-item://6C060DB4-FEA0-4FE3-AF5D-87933674890F) #radiology ## Maisonneuve fracture of proximal fibular neck associated with distal talofibular joint anterior ligament rupture and medial ligament rupture. - These fractures are **unstable** - Occur when an external rotatory force is applied to the ankle, resulting in partial or complete disruption of the *syndesmosis* between the tibia and fibula - Palpation of the proximal fibula following a complex ankle injury is essential to exclude this fracture. - All these fractures must be ==referred to the orthopaedic team for operative fixation==. ![[Pasted image 20250221170218.png]] OSCE: [Cabrini 2024 station 2](x-devonthink-item://67D0651D-1E46-4065-9D3A-E9900EDC70A5), [Cabrini 2020 station 1](x-devonthink-item://CBF7E350-4D35-4232-B4F8-816B6B008D34) ## Weber distal fibula fracture - Weber A - distal fibula fracture below tibo-fibular syndesmosis - Weber B - oblique distal fibula fracture at level of tibio-fibular syndesmosis - Weber C - ​distal fibula fracture above tibio-fibular syndesmosis ## Pilon / Tibial plafond - distal tibial intra-articular metaphyseal fracture - often ​comminuted with a longitudinal component to the tibial fracture - "Pilon" is a french term for injury mechanism meaning "hammer" or "pestle" - a pilon fracture is a high energy trauma wiht articular impaction and comminution ![[Pasted image 20250221170840.png]] ![[Pasted image 20241023011953.png]] ![[Pasted image 20241023012104.png]] ## Pott's fracture fracture of malleoli ## Tillaux - avulsion fracture of tibia at inferior tibiofibular joint - is a [[Ortho#salter harris]] III fracture through the anteriolateral aspect of distla tibial epiphysis. - occurs in older adolescents btwn age of 12 and 15 when medial epiphysis has closed but before the lateral side has. - associated with proximal tibial shaft fracture ![[Pasted image 20241023011716.png]] ![[Pasted image 20241023011849.png]] ![[Pasted image 20241023011746.png]]