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Case Report
The Maisonneuve fracture with medial and posterior malleolar fractures: A case report
1 Post-Graduate student in Sports Medicine, Iguaçu University, Nova Iguaçu/Rio de Janeiro, Brazil
2 Medical student, Iguaçu University - UNIG/RJ, Nova Iguaçu - RJ, Brazil
3 Physician, Neurologist, Adjunct Professor of Medicine at Universidade Iguaçu, Iguaçu University - UNIG/Nova Iguaçu, RJ, Brazil
4 Department of Neurology of Hospital Geral de Nova Iguaçu, Adjunct Professor of Medicine at Iguaçu University - UNIG/Nova Iguaçu, RJ, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
Brazil
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Article ID: 101385Z01JG2023
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De Souza Nóia Gonçalves JG, Pereira DA, Amaral AB, Marano BP, Orsini M, da Silva Catharino AM. The Maisonneuve fracture with medial and posterior malleolar fractures: A case report. Int J Case Rep Images 2023;14(1):66–69.ABSTRACT
Introduction: Maisonneuve’s fracture is named after the French surgeon who first described it in 1840. This injury is rare and is characterized by a combination of a fracture of the ipsilateral fibula and an injury to the medial structures of the ankle, and there may also be a rupture of the syndesmosis, tibiofibular and deltoid ligament, followed by rupture of the anteroinferior tibiofibular ligament and rupture of the interosseous ligament and interosseous membrane.
Case Report: A 70-year-old female patient reported pain in the right lower limb. Clinical examination, after excluding possible fractures associated with age group, revealed hematoma on the ankle, edema on the topography of the right lateral malleolus and on the lateral aspect of the right knee. Radiographs revealed lateral subluxation of the right ankle, increased medial free space associated with fracture of the medial malleolus, fracture of the posterior malleolus, and proximal fracture of the ipsilateral fibula. The patient was admitted for urgent orthopedic surgery. Lateral access distal to the fibula was used in the distal fibulotibial joint, anatomical reduction of the ankle with reduction forceps and placement of a 3.5 mm third-barrel plate and two 3.5 mm cortical screws with sizes of 50 and 45 mm under fluoroscopy.
Conclusion: A Maisonneuve fracture is an orthopedic emergency that needs to be identified quickly because it usually requires surgery. Surgery must be well planned and requires an adequate postoperative period to rehabilitate the patient to avoid sequelae such as early osteoarthrosis and chronic pain.
Keywords: Maisonneuve fracture, Malleolar fracture, Osteoarthrosis
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Author Contributions
José Guilherme De Souza Nóia Gonçalves - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Daniel Antunes Pereira - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Arthur Bomfim Amaral - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Bruno Povoleri Marano - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Marco Orsin - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Antônio Marcos da Silva Catharino - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 José Guilherme De Souza Nóia Gonçalves et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
