Presentation
Leg and ankle pain after being struck by auto
Patient Data
Age: 40
Gender: Male
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Minimally comminuted fibular fracture with mild widening of the distal tibiofibular syndesmosis.
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Further widening of the syndesmosis with complete disruption of the deltoid ligament, allowing lateral subluxation and valgus angulation of the talus with respect to the tibial plafond.
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Screw-plate stabilization of the fibular fracture and trans-syndesmotic screw stabilizing the ankle mortise.
Case Discussion
Stress radiography determines the stability of the ankle joint. Using either gravity or manual technique, a stress view allows visualization of disrupted ligaments. This injury can be considered a Weber C fracture, which requires a stress view to complete the imaging evaluation.
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