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The Foot and Ankle Online Journal 3 (7): 2 Salter Harris Type II ankle injuries are reviewed in 10 cases. Potential premature physeal closure (PPC) is a real complication in most open reductions of this fracture.
A high ankle sprain occurs from a twisting or rotational injury. The high ankle sprain also can occur in the setting of an ankle fracture, which means the bones of the ankle are broken. In some cases, the ligament on the inside of the ankle, the deltoid, will be torn. In this event, the energy of the injury passes from the deltoid, through the high ankle ligaments, or syndesmosis, and up the leg through the fibula. This causes the fibula to be broken at a very high level. This type of fracture is called a Maisonneuve fracture. Patients with a high ankle sprain without fracture may be able to bear weight, but will have pain over the junction between the tibia and fibula just above the level of the ankle.