Unstable Transsyndesmotic Fibular Fracture

Abstract

A 38-year-old US Air Force Pararescue specialist presented to a direct-access physical therapist 1 week after sustaining a left ankle inversion injury during a parachute landing. On-site diagnostic ultrasound was used to expand the evaluation findings and the apparent fracture was noted. The physical therapist ordered same-day radiographs, which confirmed a laterally and posteriorly displaced oblique fibular fracture at the level of the talar dome. The patient was evaluated the next day by an orthopaedic surgeon, and subsequently underwent stress-view radiographs that revealed talocrural instability. JOSPT Cases 2021;1(2):112–113. doi:10.2519/josptcases.2021.10329