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Is a Maisonneuve fracture serious?
Maisonneuve’s name is still used to describe this specific injury pattern. While this is an uncommon type of ankle fracture, it is important because without looking carefully, this may appear to be a less serious injury.
How do you fix a Maisonneuve fracture?
Based on this review, some grade B and C recommendations for the treatment of Maisonneuve fractures were formulated, including: 1) the medial malleolus should be fixated, 2) the torn deltoid ligament need not be directly repaired, 3) syndesmotic instability can be treated with one or two 3- or 4-cortical screws and …
How long does it take to recover from a Maisonneuve fracture?
Stretching and strengthening exercises will allow the patient to return to gradual weight bearing activity at around 8-12 weeks and full weight bearing around 16 weeks. Return to sport after a maisonneuve fracture with rehabilitation occurs generally within a time frame of about 20-24 weeks.
What is Maisonneuve?
French: habitational name for someone living at the ‘new house’.
What is a Maisonneuve fracture of the ankle?
Maisonneuve fracture refers to a combination of a fracture of the proximal fibula together with an unstable ankle injury (widening of the ankle mortise on x-ray), often comprising ligamentous injury (distal tibiofibular syndesmosis, deltoid ligament) and/or fracture of the medial malleolus.
What is a Bimalleolar fracture of the ankle?
A “bimalleolar equivalent” fracture means that in addition to one of the malleoli being fractured, the ligaments on the inside (medial) side of the ankle are injured. Usually, this means that the fibula is broken along with injury to the medial ligaments, making the ankle unstable.
What causes a Maisonneuve fracture?
Injury: Maisonneuve fractures are a result of external rotation of a planted foot, most often with pronation of the foot. This extreme force places significant strain on the bones and ligaments that make up the ankle joint and often results in instability.
Why is it called a Maisonneuve fracture?
The Maisonneuve fracture is similar to the Galeazzi fracture in the sense that there is an important ligamentous disruption in association with the fracture. The fracture is named after the surgeon Jules Germain François Maisonneuve.
How serious is a bimalleolar fracture?
Bimalleolar fractures can cause severe pain, swelling, and bruising in the injured ankle. They also can be tender to the touch and make walking or putting any weight on the affected foot very difficult and painful.
Are Bimalleolar fractures unstable?
Most bimalleolar fractures are unstable fractures and require treatment with open reduction internal fixation (ORIF). The management plan can be for either operative or non-operative treatment.
How do you get a bimalleolar fracture?
The prefix “bi” means “two,” so a bimalleolar fracture is one that involves both the medial malleolus and the lateral malleolus. This type of fracture often happens as a result of the foot and ankle rolling inward, but it can also be caused by a trip or fall, or by a direct blow to the ankle.
What type of fracture is Bimalleolar?
Trimalleolar fractures are the least common ankle fracture. A trimalleolar fracture happens when you break your lower leg sections that form your ankle joint and help you move your foot and ankle. Treatment includes surgery and extensive physical therapy.
What kind of ankle injury is a Maisonneuve fracture?
Maisonneuve fracture is the combination of a spiral fracture of the proximal fibula and unstable ankle injury which could manifest radiographically by widening of the ankle joint due to distal tibiofibular syndesmosis and/or deltoid ligament disruption, or fracture of the medial malleolus.
Who is the orthopedic surgeon for Maisonneuve fracture?
Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. A Maisonneuve fracture is a specific type of ankle fracture that occurs when the ankle is forcefully twisted outwards (external rotation).
What happens if a Maisonneuve fracture is left untreated?
If a Maisonneuve fracture is left untreated, instability of the tibiotalar joint and deltoid ligament can cause a valgus deformity of the ankle. This leaves the ankle joint in a state of chronic pronation, characterised by a protrusion of the medial malleolus into the subcutaneous tissue.
Can a tibia fracture be a Maisonneuve fracture?
With a Maisonneuve fracture, there can even be a fracture of the tibia (the other lower leg bone) at the bottom near the ankle. It’s important to rule out a Maisonneuve fracture with traumatic ankle injuries. An X-ray is needed to do this.