A Occult and Regular Combination Injury: The Posterior Malleolar Fracture Associated With Spiral Tibial Shaft Fracture

Abstract

Spiral fractures of the distal tibia commonly have an associated occult posterior malleolus fracture. Even the careful radiographic examination of the ankle joint, that is mandatory before surgery, may not detect this injury. CT scan or MRI may be a compensative method to detect these injuries. CT scan should be routinely performed in clinical practice.