The Lauge-Hansen (LH) classification attempts to predict patterns of ankle injuries based upon the preceding mechanism of injury. Although it is widely used in clinical practice, it has been criticized mainly due to numerous reports of cases conflicting the prediction system. Here, we report a case of a 32-year-old male who sustained a Weber B fracture of the lateral malleolus following a supin...

Correspondence to: Mr Robert Din, 11 Southcote Road, Tufnell Park, London N19 5BJ. A 41 year old man presented after a road traffic accident. He was a motorcyclist travelling at 30 mph and was thrown from his motorcycle. Physical examination was unremarkable apart from a painful deformed right lower limb, with neurovascular structures intact. Radiography revealed a midshaft oblique fracture of ...

PURPOSE We discuss the coexistence of Klippel-Trénaunay-Weber syndrome with various malignancies, the possible histogenetic pathways and therapeutic implications. PATIENT We report on a 46-year-old man presenting with increasing pain and swelling of his right lower leg after fracturing his fibula. Since birth he was known as having the uncommon syndrome of Klippel-Trénaunay-Weber of his right...

Eltbux, a muscular man, about 30 years of age, was admitted into hospital on the 1st September, 1865, under the influence of liquor, with compound fracture of both bones of the left leg communicating directly with the ankle-joint on its inner aspect. The fracture of the tibia is oblique and situated at the epiphysis of the inner malleolus. The fibula is fractured transversely, about one inch an...

2 Orava S, Puranen J, Ala Ketola L. Stress fractures caused by physical exercise. Acta Orthop Scand 1978;49:19-27. Meurman KOA, Elfring S. Stress fractures in soldiers: a multifocal disorder. A comparative radiological and scintigraphic study. Radiology 1980;134 :483-7. Delacerda FG. A case study: application of ultrasound to determine a stress fracture of the fibula. Journal of Orthopaedic and...

A vascularised fibular strut graft was used for anterior spinal fusion in 16 patients with spinal kyphosis. The procedure was abandoned in three because of difficulty in establishing a vascular anastomosis and in one because the grafted fibula dislodged two days after operation. One patient died after five days. Of the 11 remaining patients, there were seven males and four females. Their ages a...