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Resolution
The x-ray shows a fibular head fracture. The patient was placed in a cast splint across the knee and referred for follow-up with an orthopedist.
This is a very good case for our purpose for what it does not show.
Fractures of the proximal fibula are infrequently isolated, and more often associated with significant injury to the surrounding ligamentous structures. Care should be taken to examine the ipsilateral ankle for deformity and tenderness.
A Maisonneuve fracture is an unstable fracture of the medial malleolus of the ankle with disruption of the tibiofibular syndesmosis, and is commonly associated with a proximal fibula fracture.
Acknowledgment
Clinical Challenge: October, 2010
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