Tibial shaft fracture
Revisión del 03:13 10 jul 2016 de Neil.m.young (discusión | contribs.) (Text replacement - "==Treatment==" to "==Management==")
Background
- Open fracture is common due to minimal amount of subcutaneous tissue
- Fibula is often fractured as well
Clinical Features
- Localized pain/swelling
- Inability to bear weight
Differential Diagnosis
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Management
- Long leg posterior splint
- Knee at 5 degrees flexion, foot in slight plantarflexion
- Rule-out compartment syndrome
Disposition
- Consider discharge if low-energy injury and patient not at risk of compartment syndrome