Figure 2.

Anteroposterior (a) and lateral (b) radiographs of ankle, a 68 year old, male shows medial malleolar fracture at level of ankle plafond without disruption of distal tibiofibular joint on anteroposterior radiograph (a) and oblique fibular fracture (directed from antero-superior to postero-inferior) at 11.9 cm above from tip of lateral tip on lateral radiograph (b). This ankle fracture is typical pattern of pronation-external rotation type, stage III or IV, with high suspicion of syndesmotic injury of distal tibiofibular joint