Maisonneuve Fracture

Maisonneuve fracture refers to a combination of a fracture of the proximal fibula together with an unstable ankle injury (widening of the ankle mortise on x-ray), often comprising ligamentous injury (distal tibiofibular syndesmosis, deltoid ligament) and/or fracture of the medial malleolus. It is caused by pronation external-rotation mechanism. https://www.youtube.com/watch?v=ugf58OIPhUY This injury is highly unstable. Essentially all the ligaments and fascia... Continue Reading →

Mallet Finger

Commonly an athletic injury, mallet finger occurs when the distal phalanx of the finger is injured. Basketball and netball players often experience jammed fingers, but the injury can occur because of a crushing accident or even because of a laceration to the finger. With mallet finger, the extensor tendon on the back of the finger... Continue Reading →

5th metacarpal fracture (Boxer’s fracture)

What is it? A boxer’s fracture is a fracture of the fifth metacarpal bone of the hand, at the metacarpal neck. This is the bone associated with the little finger. When fractured, usually after punching an object like a boxer, it is often angulated and/or displaced requiring reduction and or surgical fixation. Relevant Anatomy The... Continue Reading →

Radial Head Fracture

Non-displaced, closed, radial head fracture with raised anterior and posterior fat pads (Sail sign) Non-displaced, closed, radial head fracture with raised anterior and posterior fat pads (Sail sign) The Sail Sign The sail sign on an elbow x-ray describes the elevation of the anterior fat pad to create a silhouette similar to a billowing spinnaker sail from a boat.... Continue Reading →

Elbow Injury Assessment

History As always a detailed history about how the injury happened, will aid the diagnosis. Knowing exactly how a patient landed, the speed in which they were moving and the direction in which they fell will help you to quickly know the likely injury patterns. For example, if a patient fell backwards landing on their... Continue Reading →

Lateral Malleolus Fracture

Ankle - Malleolus fracture - Weber A - APThe lateral malleolus tip is fracturedThis is a 'Weber A' injury - distal to the ankle joint Ankle - Malleolus fracture - Weber A - APThe lateral malleolus tip is fracturedThis is a 'Weber A' injury - distal to the ankle joint A lateral malleolus fracture is... Continue Reading →

Ankle Injury Assessment

History With all injuries, a good clinical history will help you identify the most likely injury. For example, if a patient saying they were running and inverted their ankle stepping down the kerb, then you know it is highly likely that any sprain or fracture will be on the lateral side of the ankle. It's... Continue Reading →

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