Grade 1 | The retinaculum is elevated from the lateral malleolus |
Grade 2 | The retinaculum is elevated from the lateral malleolus, and the cartilaginous ridge is held on the retinaculum, ruptured from the fibula |
Grade 3 | The retinaculum is elevated from the lateral malleolus, and the cartilaginous ridge and a cortical rim of bone is held on the retinaculum. A thin bony avulsion can be seen in grade 3 injuries on x-ray as the pathognomonic fleck sign |