$maisonneuve fracture treatment$

$maisonneuve fracture treatment$

Maisonneuve Fracture Treatment: A Comprehensive Approach

The Maisonneuve fracture complex (MFC) is a common lower leg injury that often requires timely and effective treatment to ensure proper healing and minimize complications. One of the most critical aspects of MFC treatment is the stabilization of the lower leg, which sets the stage for further management.

Following stabilization of the lower leg, a supination/external rotation force is then applied to the ankle to assess its stability. This can be done through various imaging modalities, including mechanical stress views and radiographs. The goal of these tests is to identify any potential injuries to the deep deltoid ligament or other ankle joint structures.

In some cases, ankle radiographs may appear normal, but this does not necessarily rule out a Maisonneuve fracture. In fact, occult deep deltoid ligament injuries with minimal medial clear space widening and/or isolated posterior tubercle disruption can occur without visible signs on X-ray. Therefore, it is essential to perform thorough imaging of the ankle joint and entire length of the tibia/fibula.

In addition to radiographs, magnetic resonance imaging (MRI) or computed tomography (CT) scans may be used to confirm the diagnosis of a Maisonneuve fracture. These imaging modalities can help identify injuries that may not be apparent on X-ray.

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Clinical suspicion of a Maisonneuve injury should also be based on physical examination findings. Weakness of ankle dorsiflexion/subtalar joint (foot) eversion and/or numbness along the lateral lower leg/dorsum of the foot are common indicators of this condition.

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Despite advances in diagnostic techniques, the optimal treatment for Maisonneuve fractures remains a topic of ongoing debate. While surgical intervention may be necessary to stabilize the ankle joint and repair any associated soft tissue injuries, there is limited data on the management of concomitant cartilage injuries.

Therefore, our study aimed to report the incidence of incidental cartilage injuries and their management in arthroscopic treatment of MFC. Our findings suggest that these types of injuries are more common than previously thought and require careful consideration when developing a treatment plan.

In conclusion, Maisonneuve fracture treatment requires a comprehensive approach that incorporates thorough imaging, physical examination, and careful consideration of associated soft tissue and cartilage injuries. By adopting this multidisciplinary approach, healthcare providers can ensure optimal outcomes for patients with MFC.

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