Northwestern University Feinberg School of Medicine

Orthopedic Teaching

Ankle Case 5 History/Physical Exam

Maisonneuve Fracture

History and Physical Exam

The mechanism of injury is ankle Eversion (abduction and external rotation). Force is transmitted through the interosseous membrane and exits through a fibula fracture.

It is crucial to examine the entire leg of patients with a twisting ankle injury because many of these patients will only complain of ankle pain. A complete exam, though, should reveal tenderness over the proximal fibula.