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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.
fracture of distal fibula with posterior dislocation of the proximal fibula behind the tibia: severe external rotation of the foot "Bosworth fracture dislocation". Medcyclopaedia. GE. Boxer's fracture: Boxers: fracture at the neck of the fifth metacarpal: punching solid object: Boxer's fracture at Wheeless' Textbook of Orthopaedics online ...
The diaphysis is the midsection of the tibia, also known as the shaft or body. While the epiphyses are the two rounded extremities of the bone; an upper (also known as superior or proximal) closest to the thigh and a lower (also known as inferior or distal) closest to the foot. The tibia is most contracted in the lower third and the distal ...
The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when the foot strikes the ground. [1] The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures. [2]
The intercondyloid eminence, intercondylar eminence or tibial spine is a structure of the tibia. It lies between the articular facets of the proximal tibia, but nearer the posterior than the anterior aspect of the bone, surmounted on either side by a prominent tubercle, on to the sides of which the articular facets are prolonged.
A tib-fib fracture is a fracture of both the tibia and fibula of the same leg in the same incident. In 78% of cases, a fracture of the fibula is associated with a tibial fracture. [6] Since the fibula is smaller and weaker than the tibia, a force strong enough to fracture the tibia often fractures the fibula as well. Types include:
(a) Initial anteroposterior radiograph was considered normal, however, subtle cortical disruption of the anterior rim of the medial tibial plateau, medial to the tibial spine, is noted (arrow). (b) Coronal T1-weighted MRI confirms the cortical disruption (arrow) and shows extensive fracture through the proximal tibia.
The tibial plateau leveling osteotomy and tibial tuberosity advancement are two of the most common osteotomy procedures performed in the United States. Recovery is often 6–8 weeks and the osteotomy can be filled with autologous bone grafts, scaffolds (hydroxyapatite, TR Matrix, etc.) or ceramics.