PDF(Pubmed)
Abstract：
Ankles are the most common site of injury in lower limb fractures. Despite this, the classification of the Maisonneuve fracture is still highly controversial, perhaps due to its low incidence. Typically described as a proximal fibular fracture with associated injury to the syndesmosis and medial structures secondary to an external rotation mechanism, the injury often necessitates surgical intervention to restore joint stability for good functional outcomes. A 32-year-old lady sustained a pronation external rotation injury resulting in a proximal fibula fracture with disruption of the distal tibiofibular syndesmosis as well as an associated posterior malleolar fracture with displacement of the fragment anteriorly through the syndesmosis to the ventral aspect of the ankle joint. The patient underwent surgical fixation of the posterior malleolar fracture as well as repair of the syndesmosis with a screw. This report aims to highlight the details of a Maisonneuve fracture with the rarer associated posterior malleolar fracture, and its anterior displacement through the syndesmosis, as well as provide a narrative review of the current literature.
摘要：
踝关节是下肢骨折中最常见的损伤部位。尽管如此,Maisonneuve骨折的分类仍然存在很大争议，也许是由于其发病率低。通常被描述为腓骨近端骨折，伴有外旋机制继发的韧带和内侧结构的相关损伤，损伤通常需要手术干预以恢复关节稳定性以获得良好的功能结局.一名32岁的女士遭受了内旋外旋损伤，导致腓骨近端骨折，并破坏了下胫腓骨联合，以及相关的后踝骨折，并使碎片通过联合骨向前移位至踝关节的腹侧。该患者接受了后踝骨折的手术固定以及用螺钉修复的联合。本报告旨在强调Maisonneuve骨折与罕见的后踝骨折的细节，以及它通过连骨的前移，以及提供对当前文献的叙事回顾。
