Maisonneuve injury with no fibula fracture:A case report  

作　　者：Guang-Ping Liu Ji-Gang Li Xiao Gong Jian-Min Li 

机构地区：[1]Department of Orthopedics,Qilu Hospital,Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong Province,China [2]Department of Orthopedics,Zibo Central Hospital,Shandong University,Zibo 255000,Shandong Province,China [3]Department of Radiology,Zibo Central Hospital,Shandong University,Zibo 255000,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2021年第15期3733-3740,共8页世界临床病例杂志

摘　　要：BACKGROUND Ankle syndesmosis injury is difficult to diagnose accurately at the initial visit.Missed diagnosis or improper treatment can lead to chronic complications.Complete syndesmosis injury with a concomitant rupture of the interosseous membrane(IOM)is more unstable and severe.The relationship between this type of injury and Maisonneuve injury,in which the syndesmosis is also injured,has not been discussed in the literature previously.CASE SUMMARY A 16-year-old patient sustained left medial malleolar fracture,and the associated inferior tibiofibular syndesmotic instability was overlooked.After open reduction and internal fixation of the medial malleolar fracture,inferior tibiofibular syndesmosis diastasis with IOM rupture was detected by auxiliary imaging.Secondary surgical intervention was performed to reduce anatomically and fix with two trans-syndesmosis screws.Twelve weeks later,the screws were removed.At the 6-mo follow-up,the patient gained full range of motion of the ankle.CONCLUSION Complete syndesmosis injury with IOM rupture should be considered Maisonneuve-type injury.Open reduction and internal fixation could obtain good outcomes.

关 键 词：MAISONNEUVE Syndesmosis injury Interosseous membrane Stress test Classification Case report 

分 类 号：R687.3[医药卫生—骨科学]