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Department of Orthopedics, Tokyo Metropolitan Hiroo Hospital, Tokyo, JPN.
The medial malleolar fleck sign (MMFS) is a radiographic indicator of medial ankle instability, conventionally interpreted as an avulsion of the deltoid ligament from its tibial insertion. However, its precise anatomical origin remains unclear, with limited intraoperative confirmation reported in the literature. We present a case of a 51-year-old woman with a left ankle inversion injury, resulting in a Weber B fibular fracture, posterior malleolar fracture, and a cortical fragment consistent with MMFS, accompanied by medial clear space widening.
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The First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan City, 250355, Shandong, China.
Pediatric ankle injuries are common; ankle epiphyseal fractures are also common in children. But isolated distal epiphyseal fibular fractures of the distal fibula are clinically rare. We describe one unusual case of an adolescent with a completely displaced Salter-Harris type II distal fibular epiphyseal fracture.
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A linear flake of bone at the posterolateral aspect of the distal fibula indicates avulsion of the superior peroneal retinaculum and warrants further investigation by dynamic ultrasound.
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Department of Radiology, Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, United Kingdom.
Background: This study analyzes position of the peroneal tendons and status of the superior peroneal retinaculum (SPR) whenever a lateral malleolar bony flake fracture occurs.
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