Liu GP, Li JG, Gong X, Li JM. Maisonneuve injury with no fibula fracture: A case report. World J Clin Cases 2021; 9(15): 3733-3740 [PMID: 34046477 DOI: 10.12998/wjcc.v9.i15.3733]
Corresponding Author of This Article
Jian-Min Li, MD, Chief Doctor, Professor, Surgeon, Department of Orthopedics, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Culture Road, Jinan 250012, Shandong Province, China. gkljm@163.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 26, 2021; 9(15): 3733-3740 Published online May 26, 2021. doi: 10.12998/wjcc.v9.i15.3733
Maisonneuve injury with no fibula fracture: A case report
Guang-Ping Liu, Ji-Gang Li, Xiao Gong, Jian-Min Li
Guang-Ping Liu, Jian-Min Li, Department of Orthopedics, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong Province, China
Guang-Ping Liu, Ji-Gang Li, Department of Orthopedics, Zibo Central Hospital, Shandong University, Zibo 255000, Shandong Province, China
Xiao Gong, Department of Radiology, Zibo Central Hospital, Shandong University, Zibo 255000, Shandong Province, China
Author contributions: Liu GP was the patient’s surgeon, reviewed the literature, and contributed to manuscript drafting; Li JG reviewed the literature and drafted the manuscript; Gong X analyzed and interpreted the imaging findings; Li JM was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Min Li, MD, Chief Doctor, Professor, Surgeon, Department of Orthopedics, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Culture Road, Jinan 250012, Shandong Province, China. gkljm@163.com
Received: January 6, 2021 Peer-review started: January 6, 2021 First decision: January 24, 2021 Revised: January 30, 2021 Accepted: March 3, 2021 Article in press: March 3, 2021 Published online: May 26, 2021 Processing time: 125 Days and 4.6 Hours
Abstract
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.
Core Tip: We present a case of medial malleolar fracture, and the associated complete syndesmosis injury with interosseous membrane rupture was overlooked, which teaches us to pay more attention to thorough physical examination and exact reading of auxiliary imaging and intraoperative stress fluoroscopy to avoid misdiagnosis. Furthermore, this is the first report describing this pattern of injury as a Maisonneuve-equivalent injury and further classifying Maisonneuve injury into three types.
