Abstract:
Multiple sclerosis (MS) is a disease with chronic progressive neurological symptoms. Multiple sclerosis patients are frequently
observed to have balance problems and falls, and these may occur as initial symptoms. Distal fibula fractures comprise a significant
proportion of ankle fractures occurring commonly after trauma or falls. This report presents the case of a 49-year old female patient
developing right distal fibula fracture after a fall 4 years previously, who attended the rehabilitation clinic many times due to inability
to walk in spite of full union of the bone. Detailed anamnesis included frequent falls and loss of balance before the fracture. The
patient had upper motor neuron findings identified, and in light of the clinical findings along with cranial MR images, the patient was
diagnosed with primary progressive multiple sclerosis. Attending rehabilitation after fractures at young-middle age, patients should
be questioned carefully about the loss of balance and history of falling, and detailed neurological examination should definitely be
performed in addition to an orthopedic examination.
