Title: Radiology Ankle Fracture Pearls <br/>Author: Michael Bond<br/><a href='http://umem.org/profiles/faculty/78/'>[Click to email author]</a><hr/><p class="p1">
Some radiology pearls concerning ankle pain and fractures courtesy of David Bostick and Michael Abraham<br />
<br />
Maisonneuve fracture – fracture of the medial malleolus with disruption of the tibiofibular syndesmosis with associated fracture of the proximal fibular shaft (<a href="http://radiopaedia.org/articles/maisonneuve-fracture">http://radiopaedia.org/articles/maisonneuve-fracture</a>)<br />
<br />
When to look for high fibular fracture</p>
<ul>
<li>
Isolated fracture of medial malleolus</li>
<li>
Isolated fracture of malleolus tertius without fracture on the lateral side</li>
<li>
Any painful swelling or hematoma on medial side without a fracture on x-ray</li>
</ul>
<p>
Always look for avulsion fracture of 5th metatarsal styloid in patients with ankle pain and<br />
no obvious fractures<br />
<br />
Dans-Weber Classification – for lateral malleolar fractures (<a href="http://radiopaedia.org/articles/ankle-fracture-classification-weber">http://radiopaedia.org/articles/ankle-fracture-classification-weber</a>)</p>
<ul>
<li>
Type A – fracture below ankle joint</li>
<li>
Type B – at level of joint with tibifibular joint intact</li>
<li>
Type C – fracture above joint with tears syndesmotic joint</li>
</ul>