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Two systems of fracture classification are commonly used to aid diagnosis and management of tibia shaft fractures: [citation needed] Oestern and Tscherne Classification; Gustilo-Anderson Classification; Management is dependent on the determination of whether the fracture is open or closed. [citation needed]
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.
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 ...
Patients generally do not report pain near the proximal fibula, so physical examination such as palpation along the fibula is effective for differentiating a Maisonneuve fracture from an isolated syndesmotic injury. [4] Feeling pain near the proximal fibula during palpation is a positive indication of a Maisonneuve fracture. [12]
In terms of fracture type, isolated malleolar fractures are most common (two-thirds of fractures); bimalleolar fractures occur in roughly 25% of patients while trimalleolar fractures occur in 5-10%. [10] Open fractures are rare, compromising 2% of all ankle fractures. [21] In children, ankle fractures occur in about 1 per 1000 per year. [3]
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:
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Galeazzi fracture: Ricardo Galeazzi: radius shaft fracture with dislocation of distal radioulnar joint: blow to forearm: Galeazzi fracture at eMedicine: Gosselin fracture: Leon Athanese Gosselin: V-shaped distal tibia fracture extending into the tibial plafond: Gosselin's fracture at TheFreeDictionary.com: Hangman's fracture: Hangman: fracture ...
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262 Neil Avenue # 430, Columbus, Ohio · Directions · (614) 221-7464