ArticleInternational journal of surgery case reports2017
The isolated posterior malleolar fracture and syndesmotic instability: A case report and review of the literature.
Article in International journal of surgery case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Incidence and missed diagnosis risk of occult posterior malleolar fractures associated with the tibial shaft fractures: a systematic review.Journal of orthopaedic surgery and research · 2021Pooled it
- Clinical and radiological comparisons of isolated posterior malleolar fractures treated surgically and conservatively.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- Treatment of Intra-Articular Lesions After Posterior Inferior Tibiofibular Ligament Injury: A Case Series of Elite Rugby Players.Orthopaedic journal of sports medicine · 2023Article
- Rare pattern of Maisonneuve fracture: A case report.World journal of clinical cases · 2022Article
- Isolated Posterior Malleolar Fracture: A Case Report of a Rare Presentation With Narrative Review of Literature.Cureus · 2022Article
- Maisonneuve fracture: a type of ankle fracture.BMJ case reports · 2019Article
- Anatomy, Classification, and Management of Ankle Fractures Involving the Posterior Malleolar Fragment: A Literature Review.Foot & ankle orthopaedics · 2019Review
- A Rare Cooccurrence of Tillaux-Chaput and Volkmann Fracture in an Adolescent Male: A Case Report.Journal of orthopaedic case reports · 2019Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAnkle fractures are among the most common type of fractures in the lower extremity. A posterior malleolar fracture is frequently part of a more complex ankle fracture and only in rare cases it occurs as isolated injury. Posterior malleolar fractures often occur with associated injuries, such as a Maisonneuve fracture or with bi- or trimalleolar ligamentous injuries. Knowledge about these associated injuries is essential to prevent missed diagnoses. The aim of this article is to describe the isolated posterior malleolar fracture, the possible associated injuries, the diagnostic work-up and therapeutic consequences. PRESENTATION OF CASE: We present a case of a 26-year-old male patient who sustained an isolated posterior malleolar fracture with 4.5 years follow-up. DISCUSSION: Isolated fractures of the posterior malleolus are uncommon injuries. Diagnosis, treatment and outcome can seldom be extracted from large series. However, several cases have been described in literature, which we have summarized.
conclusionThis case report and literature review shows that isolated posterior malleolar fractures might occur as part of a more complex ankle injury, in combination with a fracture of the lower leg or after high energy trauma. Physicians should be aware of these associated injuries. Diagnostic work-up should include X-rays of the knee and lower leg and a CT scan of the ankle. If diagnosed and treated properly, isolated posterior malleolar fractures have a good long-term functional outcome.
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