The Journal of Bone and Joint Surgery, Vol 60, Issue 2 221-229, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Fractures of the fibula proximal to the distal tibiofibular syndesmosis
AM Pankovich
Study of thirty-six cases of fracture of the fibula at levels proximal to
the distal tibiofibular syndesmosis established that there are three types,
distinguished by the direction of the fracture line, which are produced by
different mechanisms: supination-external rotation, pronation-abduction,
and pronation-external rotation. Advanced lesions that were seen were
severe injuries of the ankle which included rupture of the deltoid ligament
or fracture of the medial malleolus and complete diastasis of the distal
tibiofibular syndesmosis in addition to the fracture of the fibula.
Surgical treatment is necessary in most advanced lesions.