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Teaching Point: A posterior tibial lip fracture is a rare avulsion fracture at the tibial insertion of the posterior tibiofibular ligament that causes significant ankle instability and often requires surgical intervention.

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Context 1
... to persisting pain at the ankle after conservative treatment, magnetic resonance imaging (MRI) of the ankle was performed. MRI showed a grade 3 sprain of the anterior tibiofibular ligament (AITFL) and bone marrow edema of the posterior malleolus at the attachment of the posterior tibiofibular ligament (PITFL) along with a posterior tibial lip fracture (PTLF) (Figure 2). Subsequent CT-examination confirmed the diagnosis of a PTLF with curvilinear morphology (Figure 3). ...
Context 2
... to persisting pain at the ankle after conservative treatment, magnetic resonance imaging (MRI) of the ankle was performed. MRI showed a grade 3 sprain of the anterior tibiofibular ligament (AITFL) and bone marrow edema of the posterior malleolus at the attachment of the posterior tibiofibular ligament (PITFL) along with a posterior tibial lip fracture (PTLF) (Figure 2). Subsequent CT-examination confirmed the diagnosis of a PTLF with curvilinear morphology (Figure 3). ...