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Maisonneuve fracture
Lateral Xray of ankle showing fractures (NB proximal fibula fracture not shown)
SpecialtyOrthopedics
SymptomsSwelling around medial and lateral sides of ankle joint, pain during external rotation of foot
ComplicationsOsteoarthritis, peroneal nerve palsy
CausesForceful, external rotation of the foot
Risk factorsSporting injuries, falls, motor vehicle accidents
Diagnostic methodPhysical examination, radiography, arthroscopy
TreatmentOrthopedic casting, ORIF, CRIF
Fibula

The Maisonneuve fracture is typically a result of excessive, external rotative force being applied to the syndesmotic and deltoid ligaments. Due to this, the Maisonneuve fracture is described as a pronation-external rotation injury according to the Lauge-Hansen system.[1]

Sporting injuries or work-related falls are consistent within in most Maisonneuve fracture cases.

Practicing citations

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This source is credible as Levy, Herrera, and Cole are qualified as Medical Doctors (MDs), with Vogt being a qualified Doctor of Podiatric Medicine (DPM).[2]


This source can be regarded as credible as all authors are qualified as MDs.[3]


With the authors being qualified MDs, and being affiliated with the Department of Orthopaedic Surgery, based at the Medical School of Athens University, this journal article can be deemed credible.[4]


The credibility of this source is justified as both Duchesneau and Fallat are qualified DPMs, with Fallat also qualified as a Fellow in the American College of Foot and Ankle Surgery (FACFAS).[5]


Credibility can be attributed to this source, as its authors have associations with the Department of Orthopaedic Surgery of Merlin Park Regional Hospital, located in Galway, Ireland.[1]

Answers to Module 7 Questions

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- Picture of toilet paper roll

- Yes it is my own work

- Photograph (.jpeg file)

- Creative Commons Attribution-Share Alike 4.0 International license

- Toilet paper, toilet paper roll

- Image of a toilet paper roll

Signs and symptoms

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Classic symptoms of a Maisonneuve fracture are ankle pain and swelling around the ankle joint and distal tibiofibular joint.[4] More specifically, being categorised as a pronation-external rotation injury, pain during external rotation of the ankle joint is consistent.[2]

Mechanism of injury

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Diagnosis

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Treatment

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References

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  1. ^ a b Sproule, James A.; Khalid, Mohamed; O’Sullivan, Michael; McCabe, John P. (2004-08-01). "Outcome after surgery for Maisonneuve fracture of the fibula". Injury. 35 (8): 791–798. doi:10.1016/S0020-1383(03)00155-4. ISSN 0020-1383. PMID 15246803.
  2. ^ a b Levy, B. A.; Vogt, K. J.; Herrera, D. A.; Cole, P. A. (2006-05). "Maisonneuve Fracture Equivalent with Proximal Tibiofibular Dislocation: A Case Report and Literature Review". JBJS. 88 (5): 1111–1116. doi:10.2106/JBJS.E.00954. ISSN 0021-9355. {{cite journal}}: Check date values in: |date= (help)
  3. ^ Stufkens, Sjoerd A.; Bekerom, Michel P. J. van den; Doornberg, Job N.; Dijk, C. Niek van; Kloen, Peter (2011-01-01). "Evidence-Based Treatment of Maisonneuve Fractures". The Journal of Foot and Ankle Surgery. 50 (1): 62–67. doi:10.1053/j.jfas.2010.08.017. ISSN 1067-2516. PMID 21172642.
  4. ^ a b Babis, G. C.; Papagelopoulos, P. J.; Tsarouchas, J.; Zoubos, A. B.; Korres, D. S.; Nikiforidis, P. (2000-07-01). "Operative Treatment for Maisonneuve Fracture of the Proximal Fibula". Orthopedics. 23 (7): 687–690. doi:10.3928/0147-7447-20000701-15. ISSN 0147-7447.
  5. ^ Duchesneau, Stacey; Fallat, Lawrence M. (1995-09-01). "The maisonneuve fracture". The Journal of Foot and Ankle Surgery. 34 (5): 422–428. doi:10.1016/S1067-2516(09)80016-1. ISSN 1067-2516.