"Double Maisonneuve fracture": an unknown fracture pattern

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F22%3A10432696" target="_blank" >RIV/00216208:11110/22:10432696 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61383082:_____/21:00001083

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=fPu~NI5KPV" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=fPu~NI5KPV</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00068-021-01786-x" target="_blank" >10.1007/s00068-021-01786-x</a>

Jazyk výsledku

angličtina

Název v původním jazyce

"Double Maisonneuve fracture": an unknown fracture pattern

Popis výsledku v původním jazyce

Purpose: The aim of this study was to describe pathoanatomy and to raise awareness of a fracture of the lateral malleolus combined with a high subcapital fracture of the fibula caused by a dislocation mechanism. Methods: The study comprised 11 patients, 5 men and 6 women, with the mean age of 57 years (range, 21-87), with a &quot;Double Maisonneuve fracture&quot;. Individual lesions of ankle structures were described on the basis of radiographs, CT, and intraoperative findings. Results: The distal fibular fracture was classified as Weber type B in 1 case and Weber type C in 10 cases. The proximal fibular fracture was described as a subcapital oblique spiral fracture with metadiaphyseal involvement in nine cases and a high short oblique fracture with fibular head involvement in two cases. Injury to the deltoid ligament was revealed in six cases; a bicollicular fracture of the medial malleolus was found in five patients. Posterior malleolar fractures were classified as type 1 in eight cases and type 2 in three cases. Avulsion of the Chaput tubercle was detected in four cases. Injury to the interosseous tibiofibular ligament was assessed in nine patients. Conclusion: Double Maisonneuve fracture is a rare but probably underreported injury that must be taken into consideration during examination, as it may be easily overlooked. The essential part of diagnosis is a careful clinical examination and radiological assessment of the lower leg with additional CT examination of the ankle.

Název v anglickém jazyce

"Double Maisonneuve fracture": an unknown fracture pattern

Popis výsledku anglicky

Purpose: The aim of this study was to describe pathoanatomy and to raise awareness of a fracture of the lateral malleolus combined with a high subcapital fracture of the fibula caused by a dislocation mechanism. Methods: The study comprised 11 patients, 5 men and 6 women, with the mean age of 57 years (range, 21-87), with a &quot;Double Maisonneuve fracture&quot;. Individual lesions of ankle structures were described on the basis of radiographs, CT, and intraoperative findings. Results: The distal fibular fracture was classified as Weber type B in 1 case and Weber type C in 10 cases. The proximal fibular fracture was described as a subcapital oblique spiral fracture with metadiaphyseal involvement in nine cases and a high short oblique fracture with fibular head involvement in two cases. Injury to the deltoid ligament was revealed in six cases; a bicollicular fracture of the medial malleolus was found in five patients. Posterior malleolar fractures were classified as type 1 in eight cases and type 2 in three cases. Avulsion of the Chaput tubercle was detected in four cases. Injury to the interosseous tibiofibular ligament was assessed in nine patients. Conclusion: Double Maisonneuve fracture is a rare but probably underreported injury that must be taken into consideration during examination, as it may be easily overlooked. The essential part of diagnosis is a careful clinical examination and radiological assessment of the lower leg with additional CT examination of the ankle.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Journal of Trauma and Emergency Surgery

ISSN

1863-9933

e-ISSN

1863-9941

Svazek periodika

48

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

7

Strana od-do

2433-2439

Kód UT WoS článku

000695784400002

EID výsledku v databázi Scopus

2-s2.0-85114887405