Lateral X-ray of 77 year old patient with trimalleolar fracture dislocation following pronation external rotation (PER IV) injury. There is a complex, displaced intra-articular fracture. There is transverse avulsion fracture of the medial malleolus, widening of the medial mortise, fracture of posterior malleolus, and high fibular fracture above the tibio-talar joint level. Posterior inferior talofibular syndesmotic ligament PITFL rupture from extreme external rotation of the talus. Posterior tibiotalar dislocation. Talus rotates externally, leading to rupture of the anterior inferior talofibular syndesmotic ligament AITFL with widening of the tibiofibular space, indicative of rupture of the AITFL with extension into the interosseous membrane. | |
Lizenzart: | Lizenzpflichtig |
Credit: | Science Photo Library / Steven Needell |
Bildgröße: | 2804 px × 2918 px |
Modell-Rechte: | nicht erforderlich |
Eigentums-Rechte: | nicht erforderlich |
Restrictions: | - |