biostudies-literatureUnknown10(1)Karanja AN<h4>Background</h4>Ankle fractures are common orthopaedic injuries, and their management is primarily determined by fracture stability. The Lauge-Hansen classification system categorizes fractures according to mechanism of injury and ligaments involved. Supination external rotation (SER) type 2 fractures correspond to stable weber B fractures and are traditionally treated nonoperatively, whereas SER 3 and SER 4 fractures, characterized by syndesmosis disruption, typically require surgical intervention. We hypothesize that some apparently stable injuries may involve additional structures, challenging the conventional treatment approach. This study aims to determine the prevalence of SER 3 and SER 4 ankle injuries among radiographically stable SER 2 fractures.<h4>Method</h4>The study used baFoot & ankle orthopaedics24730114251328694https://www.ebi.ac.uk/biostudies/studies/S-EPMC11954532biostudies-literatureLigamentous Injuries in Stable Ankle Fractures: An MRI-Based Study.PMC11954532Walsh TKaranja ANPlatt SRHo-Huynh AfalseLigamentous Injuries in Stable Ankle Fractures: An MRI-Based Study.<h4>Background</h4>Ankle fractures are common orthopaedic injuries, and their management is primarily determined by fracture stability. The Lauge-Hansen classification system categorizes fractures according to mechanism of injury and ligaments involved. Supination external rotation (SER) type 2 fractures correspond to stable weber B fractures and are traditionally treated nonoperatively, whereas SER 3 and SER 4 fractures, characterized by syndesmosis disruption, typically require surgical intervention. We hypothesize that some apparently stable injuries may involve additional structures, challenging the conventional treatment approach. This study aims to determine the prevalence of SER 3 and SER 4 ankle injuries among radiographically stable SER 2 fractures.<h4>Method</h4>The study used ba2025-01-01T00:00:00Z2025 Jan2025-06-25T03:04:36.505Z2025-06-25T03:04:36.505ZS-EPMC119545324016085310.1177/24730114251328694