EC Orthopaedics

Case Report Volume 16 Issue 3 - 2025

The Isolated Volkmann Fracture

E Pietsch*

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

*Corresponding Author: E Pietsch, Consultant Orthopaedic Surgeon and Trauma Specialist, Department of Trauma and Orthopaedics, The-Expert-Witness.de, Hamburg, Germany.
Received: January 06, 2025; Published: February 19, 2025



Sprain injuries of the ankle are a very common injury in the trauma department. However, the clinical appearance and X-ray findings may not be congruent. Radiological signs of injury can be only subtly noticeable on films. In these cases, the clinical suspicion is crucial for establishing the diagnosis with appropriate further investigations, which, in turn, can yield surprising findings.

 Keywords: Isolated Volkman Fracture; Fracture of the Tibial Plafond; Ankle Sprains

  1. Lynch SA. “Assessment of the injured ankle in the athlete”. Journal of Athletic Training 4 (2002): 406-441.
  2. Waterman BR., et al. “The epidemiology of ankle sprains in the United States”. Journal of Bone and Joint Surgery, American Volume 13 (2010): 2279-2284.
  3. Herzog MM., et al. “Epidemiology of ankle sprains and chronic ankle instability”. Journal of Athletic Training 6 (2019): 603-610.
  4. Brandser EA., et al. “Contribution of individual projects alone and in combination for radiographic detection of ankle fractures”. American Journal of Roentgenology 6 (2000): 1691-1697.
  5. De Smet AA., et al. “Are oblique views needed for trauma radiography of the distal extremities?” American Journal of Roentgenology 6 (1999): 1561-1565.
  6. Kose O., et al. “Isolated adult Tillaux fracture associated with Volkmann fracture-a unique combination of injuries: report of two cases and review of the literature”. Journal of Foot and Ankle Surgery 5 (2016): 1057-1062.
  7. Ziegler P., et al. “Quality of life and clinical-radiological long-term results after implant-associated infections in patients with ankle fracture: a retrospective matched-pair study”. Journal of Orthopaedic Surgery and Research 1 (2017): 114.
  8. Zeng J., et al. “Evaluation of ankle fractures in 228 patients from a single center using three-dimensional computed tomography mapping”. Frontiers in Bioengineering and Biotechnology 10 (2022): 855114.
  9. Kim J. “Diagnostic accuracy of ankle x-rays: How often do we miss fractures? How can we improve?” (2016).
  10. Pinto A., et al. “Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department”. Acta Biomedica 1-S (2018): 111-123.
  11. Haapamaki VV., et al. “Ankle and foot injuries: analysis of MDCT findings”. American Journal of Roentgenology 3 (2004): 615-622.
  12. Ramsey PL and Hamilton W. “Changes in tibiotalar area of contact caused by lateral talar shift”. Journal of Bone and Joint Surgery, American Volume3 (1976): 356-357.
  13. Leeds HC and Ehrlich MG. “Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures”. Journal of Bone and Joint Surgery, American Volume4 (1984): 490-503.
  14. M Meenem., et al. “Die isolierte Fraktur des Volkmannschen Dreiecks—ein eigenständiges Verletzungsbild”. Unfallchirurgie 19 (1993): 98-107.
  15. Neumaier Probst E., et al. “Isolated fracture of the posterolateral tibial lip (Volkmann's triangle)”. Acta Radiologica 3 (1997): 359-362.
  16. H Mansur-Gonçalves., et al. “Adult Tillaux fracture in association with Volkmann and Maisonneuve fractures. Case report”. Revista Colombiana de Ortopedia y Traumatología 3-4 (2020): 133-137.

E Pietsch. "The Isolated Volkmann Fracture." EC Orthopaedics 16.3 (2025): 01-05.

ECronicon Journal

Our Services

Quick Links

Information

Creative Commons LicenseOpen Access by ECronicon is licensed under a Creative Commons Attribution 4.0 International License
Based on a work at www.ecronicon.net