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This is a fibula fracture with a tear of the deltoid ligament and syndesmotic ligaments. 

It’s
a tear of the deltoid ... #syndesmotic #injury ... #mortise #fluoroscopy ... video #clinical #sports ... #orthopedics #instability
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Webber Ankle Injury ... Supination External Rotation ... Because a deltoid ... pronation and external rotation ... document the degree instability