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Proximal and mid shaft fibular fractures
A proximal fibular shaft fracture may appear to an isolated fracture on a knee x ray. However, it is important to assess for an ankle medial malleolus fracture (or deltoid ligament injury) as this represents a Maisonneuve fracture, which requires surgical treatment. A weight-bearing XR of the ankle will be able to demonstrate fractures or instability within the ankle mortise.
Fibular head fracture
These fractures are uncommon, but may represent a twisting injury of the knee associated with ACL, PCL or posterolateral corner injuries. These should be managed as suspected "meniscal / ligament injuries".
