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The Maisonneuve fracture is typically a result of excessive, external rotative force being applied to the syndesmotic and deltoid ligaments. Due to this, the Maisonneuve fracture is described as a pronation-external rotation injury according to the Lauge-Hansen system.

Sporting injuries or work-related falls are consistent within in most Maisonneuve fracture cases.

Practicing citations
This source is credible as Levy, Herrera, and Cole are qualified as Medical Doctors (MDs), with Vogt being a qualified Doctor of Podiatric Medicine (DPM).

This source can be regarded as credible as all authors are qualified as MDs.

With the authors being qualified MDs, and being affiliated with the Department of Orthopaedic Surgery, based at the Medical School of Athens University, this journal article can be deemed credible.

The credibility of this source is justified as both Duchesneau and Fallat are qualified DPMs, with Fallat also qualified as a Fellow in the American College of Foot and Ankle Surgery (FACFAS).

Credibility can be attributed to this source, as its authors have associations with the Department of Orthopaedic Surgery of Merlin Park Regional Hospital, located in Galway, Ireland.

Answers to Module 7 Questions
- Picture of toilet paper roll

- Yes it is my own work

- Photograph (.jpeg file)

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- Toilet paper, toilet paper roll

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Signs and symptoms
Classic symptoms of a Maisonneuve fracture are ankle pain and swelling around the ankle joint and distal tibiofibular joint. More specifically, being categorised as a pronation-external rotation injury, pain during external rotation of the ankle joint is consistent.