F R A C T U R E D
This is an example of a spiral fracture
most likely occurring while skiing.
Nondisplaced buckle fracture distal right fibula above the tibiofibular joint space. Alignment across the tibiofibular joint space and fibulotalar joint space is anatomic. Mild buckling on prior study has been almost completely reduced and alignment is near-anatomic. There is a spiral fracture through the distal tibia extending through to the tibial plafond which has been disrupted. A large comminuted fragment containing articular surface is located anteromedially in the tibial plafond and has been rotated posteriorly approximately 45 degrees creating a large stepoff at the joint surface. There are also smaller suspected articular fragments. The posterior and medial malleoli are attached to the main distal fragment. A portion of the tibial plafond including the tibiofibular articulation is attached to the central butterfly fragment.
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