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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.
Tibial plateau fracture; Other names: Fractures of the tibial plateau: A severe tibial plateau fracture with an associated fibular head fracture: Specialty: Orthopedics: Symptoms: Pain, swelling, decreased ability to move the knee [1] Complications: Injury to the artery or nerve, compartment syndrome [1] Types: Type I to Type VI [2] Causes
In terms of anatomy location, fractures of finger phalanges are the most common one at the rate of 14 per 100,000 people per year in the general population, followed by fracture of tibia at 3.4 per 100,000 population per year, and distal radius fracture at 2.4 per 100,000 population per year. [5]
An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. [2] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta ...
A patella fracture is a break of the kneecap. [1] Symptoms include pain, swelling, and bruising to the front of the knee. [1] A person may also be unable to walk. [1] Complications may include injury to the tibia, femur, or knee ligaments. [2] It typically results from a hard blow to the front of the knee or falling on the knee. [1]
The skin should be carefully examined, paying particular attention to any openings or breaks in the skin that could be due to an open fracture. [10] It is important to evaluate the exact location of the pain, the range of motion of the ankle, and the condition of the nerves and blood vessels.
Fracture blisters pop up in trauma patients, but are relatively rare and only occur in 2.9% of patients with a fracture requiring hospitalization. [3] A fracture blister typically occurs near fractures where the skin has little subcutaneous tissue between it and bone. These include elbows, knees, ankles, and wrists.
A skin graft may be required to close the wound, which would complicate the treatment with a much longer hospitalization stay. [48] Fasciotomy is overused and non-therapeutic in many cases of compartment syndrome due to snake bites due to Crotalid (rattlesnake) and related snakes such as lance-head, and may actually worsen prognosis.