Some radiology pearls concerning ankle pain and fractures courtesy of David Bostick and Michael Abraham
Maisonneuve fracture – fracture of the medial malleolus with disruption of the tibiofibular syndesmosis with associated fracture of the proximal fibular shaft (http://radiopaedia.org/articles/maisonneuve-fracture)
When to look for high fibular fracture
Isolated fracture of medial malleolus
Isolated fracture of malleolus tertius without fracture on the lateral side
Any painful swelling or hematoma on medial side without a fracture on x-ray
Always look for avulsion fracture of 5th metatarsal styloid in patients with ankle pain and no obvious fractures
