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The injury is most commonly treated by open reduction internal fixation as closed reduction is made difficult by the entrapment of the fibula behind the tibia. [1] The entrapment of an intact fibula behind the tibia was described by Ashhurst and Bromer in 1922, who attributed the description of the mechanism of injury to Huguier's 1848 ...
A fractured fibula in addition to detaching the medial malleolus will tear the tibiofibular syndesmosis. [2] The combined fracture of the medial malleolus, lateral malleolus, and the posterior margin of the distal end of the tibia is known as a "trimalleolar fracture". [3] An example of Pott's fracture would be in a sports tackling injury.
Since approximately one third of the tibia lies directly beneath the skin, open fractures are common compared to other long bones. [1] These open fractures are most commonly caused by high velocity trauma (e.g. motor vehicle collisions), while closed fractures most commonly occur from sports injuries or falls.
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 Maisonneuve fracture may be a simple fracture or comminuted fracture: [8] A simple fracture, in the case of a Maisonneuve fracture, only refers to the fibula being broken in one place without any damage being done to the surrounding tissues. A comminuted fracture is when the bone is broken in more than two places.
unstable spinal fracture-dislocation at the thoracolumbar junction: Thoracic Spine Fractures and Dislocations at eMedicine: Hume fracture: A.C. Hume: olecranon fracture with anterior dislocation of radial head: Ronald McRae, Maxx Esser. Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008.
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The Danis–Weber classification (often known just as the Weber classification) is a method of describing ankle fractures. It has three categories: [1] Type A. Fracture of the fibula distal to the syndesmosis (the connection between the distal ends of the tibia and fibula). Typical features: below level of the ankle joint; tibiofibular ...