Zhao B, Li N, Cao HB, Wang GX, He JQ. Rare pattern of Maisonneuve fracture: A case report. World J Clin Cases 2022; 10(14): 4684-4690 [PMID: 35663082 DOI: 10.12998/wjcc.v10.i14.4684]
Corresponding Author of This Article
Jin-Quan He, MD, Chief Doctor, Department of Foot and Ankle Surgery Ⅰ, Tianjin Hospital, No. 406 Jiefangnan Road, Hexi District, Tianjin 300211, China. hejinquan2020@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2022; 10(14): 4684-4690 Published online May 16, 2022. doi: 10.12998/wjcc.v10.i14.4684
Rare pattern of Maisonneuve fracture: A case report
Bin Zhao, Nan Li, Hong-Bin Cao, Gui-Xin Wang, Jin-Quan He
Bin Zhao, Nan Li, Hong-Bin Cao, Gui-Xin Wang, Jin-Quan He, Department of Foot and Ankle Surgery Ⅰ, Tianjin Hospital, Tianjin 300211, China
Author contributions: Zhao B and He JQ contributed to the conception and design of the study; Zhao B and Li N contributed to the drafting of manuscripts; Zhao B, Cao HB and Wang GX contributed to the carry out of the surgery; all authors have read and approve the final manuscript.
Informed consent statement: The patient provided consent for the publication of the images.
Conflict-of-interest statement: The authors have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Quan He, MD, Chief Doctor, Department of Foot and Ankle Surgery Ⅰ, Tianjin Hospital, No. 406 Jiefangnan Road, Hexi District, Tianjin 300211, China. hejinquan2020@126.com
Received: December 8, 2021 Peer-review started: December 8, 2021 First decision: January 26, 2022 Revised: January 30, 2022 Accepted: March 16, 2022 Article in press: March 16, 2022 Published online: May 16, 2022
Abstract
BACKGROUND
Maisonneuve fracture is a special type of ankle fracture that consists of proximal fibular fracture, a lesion of the inferior tibiofibular syndesmotic complex (interosseous ligament, anterior inferior tibiofibular ligament and posterior inferior tibiofibular ligament), and injury of the medial structure of the ankle (deltoid ligament tear or medial malleolar fracture). The accepted mechanism of Maisonneuve fracture is pronation external rotation according to the Lauge-Hansen classification. In this paper, we report a rare pattern of Maisonneuve fracture, which has the characteristics of both pronation external rotation ankle fracture and supination adduction ankle fracture.
CASE SUMMARY
A 31-year-old female patient accidentally sprained her right ankle while walking 5 d before hospitalization in our hospital. The patient was initially missed in other hospitals and later rediagnosed in our outpatient department. Full-length radiographs of the lower leg revealed proximal fibula fracture, inferior tibiofibular joint separation, and medial malleolar fracture involving the posterior malleolus, which was also revealed on computed tomography scans. Magnetic resonance imaging revealed rupture of the anterior inferior tibiofibular ligament and anterior talofibular ligament. We diagnosed a rare pattern of Maisonneuve fracture with proximal fibular fracture, inferior tibiofibular joint separation, medial malleolar fracture and ruptures of the anterior inferior tibiofibular ligament and anterior talofibular ligament. The patient underwent open reduction and internal fixation in our hospital. A 6-mo postoperative follow-up confirmed a good clinical outcome.
CONCLUSION
To our knowledge, this rare pattern of Maisonneuve fracture has not been previously described. The possible mechanism of injury is supination adduction combined with pronation external rotation. Careful analysis of the injury mechanism of Maisonneuve fracture is of great clinical significance and can better guide clinical treatment.
Core Tip: We report a rare pattern of Maisonneuve fracture, which has the characteristics of both pronation external rotation and supination adduction. The patient was initially missed in other hospital and later rediagnosed in our hospital. The patient underwent open reduction and internal fixation. A 6-mo postoperative follow-up confirmed a good clinical outcome. To our knowledge, this rare pattern of Maisonneuve fracture has not been previously described. The possible mechanism of injury is supination adduction combined with pronation external rotation. Careful analysis of the injury mechanism of Maisonneuve fracture is of great clinical significance and can better guide clinical treatment.
