Search results
Results from the WOW.Com Content Network
Anterior tibial stress fractures can have a particularly poor prognosis and can require surgery. On radiographic imaging, these stress fractures are referred to as the "dreaded black line." [5] When compared to other stress fractures, anterior tibial fractures are more likely to progress to complete fracture of the tibia and displacement. [4]
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...
This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces.3 A low energy injury, these fractures are more frequent in the 4th and 5th decades of life and individuals with osteoporotic changes in bone.
The knee is then flexed to 20°. Making sure the tibia remains in neutral rotation, a varus force is used to ensure there is no medial compartment gapping of the knee. The sMCL graft is then tightened and fixed with a bioabsorbable screw. [27] The final step of reconstruction ligament fixation is the proximal tibial attachment of the sMCL.
Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after between 3 and 6 months, [3] though time to union can be rather subjective, [4] and the dynamistion process combined with irregular appointments may interfere with these measures.
A Segond fracture seen on X-ray. As the injury may have self-reduced before arrival at hospital, the diagnosis may not be readily apparent. [2] Diagnosis may be suspected based on the history of the injury and physical examination [5] which may include anterior drawer test, valgus stress test, varus stress test, and posterior sag test. [5]
When fracture is present, there may be a small bone fragment migrated in the cystic fluid. This is called "fallen fragment sign" which is diagnostic of unicameral bone cyst. Besides, a bubble migrating upwards (known as "rising bubble sign") is another feature suggesting of unicameral bone cyst.
Other potential causes include stress fractures, compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. [18] If the cause is unclear, medical imaging such as a bone scan or magnetic resonance imaging (MRI) may be performed. [3] Bone scans and MRI can differentiate between stress fractures and shin splints. [12]