EC Orthopaedics

Case Series Volume 14 Issue 4 - 2023

A Maisonneuve Like Bimalleolar Fracture: A Case Report

Ekkehard Pietsch*

Consultant Orthopaedic Surgeon and Trauma Specialist, Department of Trauma and Orthopaedics, The-Expert-Witness.de, Hamburg, Germany

*Corresponding Author: Ekkehard Pietsch, Consultant Orthopaedic Surgeon and Trauma Specialist, Department of Trauma and Orthopaedics, The-Expert-Witness.de, Hamburg, Germany.
Received: February 13, 2023; Published: April 10, 2023



Bimalleolar ankle fractures with an additional proximal fibular fracture are unusual and rarely described in the literature. We present two cases with a similar injury pattern in two elderly women and assess the injuries by their fracture pattern.

Keywords: Maisonneuve; Bimalleolar Fracture; Syndesmotic Injuries

  1. Maisonneuve M. “Recherches sur la fracture du perone”. Archives of General Internal Medicine 7 (1840): 165-187.
  2. Slawski DP and West C. “Maisonneuve fracture with an associated distal fibular fracture. A case report”. Clinical Orthopaedics and Related Research 317 (1995): 193-198.
  3. Hensel KS and Harpstrite JK. “Maisonneuve fracture associated with a bimalleolar ankle fracture-dislocation: a case report”. Journal of Orthopaedic Trauma7 (2002): 525-528.
  4. Colenbrander RJ., et al. “Bimalleolar ankle fracture with proximal fibular fracture”. Archives of Orthopaedic and Trauma Surgery8 (2005): 571-574.
  5. Lauge-Hansen N. “Ligamentous ankle fractures; diagnosis and treatment”. Acta Chirurgica Scandinavica6 (1949): 544‐550.
  6. Gardner MJ., et al. “The ability of the Lauge-Hansen classification to predict ligament injury and mechanism in ankle fractures: an MRI study”. Journal of Orthopaedic Trauma4 (2006): 267‐272.
  7. Boszczyk A., et al. “Ankle fracture - Correlation of Lauge-Hansen classification and patient reported fracture mechanism”. Forensic Science International 282 (2018): 94‐100.
  8. Smith MG., et al. “Persistent diastasis in a Maisonneuve fracture – interposition of a tibial osteochondral fragment: a case report”. The Journal of Foot and Ankle Surgery 44 (2005): 225-227.
  9. Thangarajah T., et al. “An unusual ankle injury”. JRSM Short Reports3 (2011): 19.
  10. Yoshimura I., et al. “Arthroscopic findings in Maisonneuve fractures”. Journal of Orthopaedic Science1 (2008): 3-6.
  11. Ramsey PL and Hamilton W. “Changes in tibiotalar area of contact caused by lateral talar shift”. Journal of Bone and Joint Surgery 58 (1979): 356-357.
  12. Lock TR., et al. “Maisonneuve fracture: case report of a missed diagnosis”. Annals of Emergency Medicine7 (1987): 805‐807.
  13. Colenbrander RJ., et al. “Bimalleolar ankle fracture with proximal fibular fracture”. Archives of Orthopaedic and Trauma Surgery8 (2005): 571-574.
  14. Taweel NR., et al. “The proximal fibula should be examined in all patients with ankle injury: a case series of missed maisonneuve fractures”. The Journal of Emergency Medicine2 (2013): e251‐e255.

Ekkehard Pietsch. “A Maisonneuve Like Bimalleolar Fracture: A Case Report”. EC Orthopaedics 14.4 (2023): 32-36.