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Fullthickness tear of tibiofibular ligam
Conclusion:
Sequele to high ankle sprain;
➤ Intermediate to high grade injury of syndesmotic ligament with early widening of ligament.
➤ Full thickness tear of anterior tibiofibular ligament.
➤ Intermediate to high grade tear of deltoid ligament at talar attachment.
➤ Low grade injury of anterior talofibular ligament and calcaneofibular ligament.
➤ Marrow contusion changes in tibial plafond.
➤ Contusion changes in inframalleolartibialis posterior tendon.
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Physical assessment required to diagnose and treat accordingly
Next Steps
Apply above knee cylindrical cast to avoid further damage
Health Tips
Ankle ligaments are extra articular with dedicated rehab good results are achieved conservatively. If conservative line failed or recurrent ankle subluxation episodes, surgical reconstruction is required.
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This is a Maisonneuve fracture, which is a serious ankle injury involving a fracture of the proximal fibula (near the knee) along with damage to the ankle syndesmosis. It occurs due to an external rotational force, causing instability in the ankle joint. The injury often involves tearing of the deltoid ligament or a medial malleolus fracture, making it an unstable injury.
Next Steps
Non-Surgical: If the ankle joint remains stable, conservative management with a cast may be an option.
Surgical: Most cases require syndesmotic screw fixation or a tightrope procedure to restore ankle stability.
Health Tips
Seek an orthopaedic surgeon at the earliest
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