NAVIGATE:
Supination-Adduction

Hallmark:
- Transverse fracture of the fibula below the syndesmosis
- Vertically, oriented medial malleolar fracture

Stage I
- Rupture of the calcaneofibular ligament OR
- Transverse fracture of the distal fibula BELOW the syndesmosis

Stage II
- Vertically, oriented medial malleolar fracture

Supination-Adduction II

Vertically, oriented medial malleolar fracture

Dislocation

One of the many fixation options