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Wheeless' Textbook of Orthopaedics
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Fractures and Dislocations of the Proximal Fibula



- See:
        - Lateral Collateral Ligament:
        - Maisonneuve Fracture:

- Discussion:
      - occur most often in association w/ proximal tibial fractures, esp w/ split
            compression, bicondylar, and subcondlylar fractures;
      - look for injury to peroneal nerve, anterior tibial artery, biceps tendon,
            & lateral collateral ligament;
      - mech is usually a varus force;

- Avulsion Off the Fibular Styloid:
      - exception is an avulsion of the fibular styloid with its attached biceps tendon
              and fibular collateral ligament;
      - after fibular avulsion, it is important to test for peroneal nerve function &,
            if deficit is identified, nerve should be explored;
      - knee instability is another reason to fixed theses fractures;

- Dislocation of the Head of the Fibula:
      - initially attempt treatment w/ closed reduction and casting in extension;
      - Anterolateral dislocation of the head of the fibula in sports.
            VJ Turco and AJ Spinella.   Am J. Sports Med.
      - Isolated anterior dislocation of the proximal tibiofibular joint.
            P. Falkenberg and H. Nygaard.   JBJS Vol 65-B. 1983. p 310-311.




The Maisonneuve fracture of the fibula.

Fractures of the fibula proximal to the distal tibiofibular syndesmosis.

Maisonneuve fracture of the fibula.





Original Text by Clifford R. Wheeless, III, MD.