These fractures have multifragmentary articular surface injuries. Most have metaphyseal fragmentation as well.
They can be further described as:
The fibula is usually fractured into two or more fragments. Rarely, it is intact.
Clinical assessment must include the condition of the soft tissues as well as the sensory and motor function of the foot structures. Special attention is given to any signs of a compartment syndrome.
Standard AP and lateral x-rays are taken. More detailed information is provided by CT-scans with 2-D and 3-D reconstructions.