Lower Limb Trauma
A 35-year-old male presents following a twisting injury to his ankle during basketball. He reports ankle pain and swelling with inability to weight-bear. Physical examination reveals tenderness over the medial malleolus and proximal fibula, with pain on external rotation of the foot. Ankle radiographs show widening of the medial clear space (5mm) and a proximal fibular fracture at the fibular neck. There is no obvious tibial fracture. Full-length tibia-fibula radiographs confirm isolated proximal fibular fracture with ankle mortise widening. Regarding fibular shaft fractures:
Mark each as TRUE or FALSE
Isolated fibular shaft fractures without associated tibial or ankle injuries are mechanically stable...
Maisonneuve fractures (proximal fibular fracture with syndesmosis disruption and medial ankle injury...
All fibular shaft fractures require surgical fixation with plate and screws to restore fibular lengt...
The common peroneal nerve is at high risk of injury in proximal fibular fractures (fibular neck/head...
When proximal fibular fractures are identified, full-length tibia-fibula radiographs and careful ank...
Answer the questions to see explanations
Click T (True) or F (False) for each option