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This causes the lateral part of the distal femur and the lateral tibial plateau to come into contact, compressing the tibial plateau and causing the tibia to fracture. The name of the injury is because it was described as being caused by the impact of a car bumper on the lateral side of the knee while the foot is planted on the ground, although ...
Tibia shaft fracture is a fracture of the proximal (upper) third of the tibia (lower leg bone). Due to the location of the tibia on the shin, it is the most commonly fractured long bone in the body. Due to the location of the tibia on the shin, it is the most commonly fractured long bone in the body.
Lesions in the tibial plateau, hip, ankle, and wrist are often missed. In a tibial plateau fracture, any disruption of the posterior and anterior cortical rims of the plateau should be sought. Impaction of subchondral bone will appear as an increased sclerosis of the subchondral bone (Figure 1).
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]
A Salter–Harris fracture is a fracture that involves the epiphyseal plate (growth plate) of a bone, specifically the zone of provisional calcification. [2] It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. [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:
A Tillaux fracture is a Salter–Harris type III fracture through the anterolateral aspect of the distal tibial epiphysis. [1] It occurs in older adolescents between the ages of 12 and 15 when the medial epiphysis had closed but before the lateral side has done so, [2] due to an avulsion of the anterior inferior tibiofibular ligament, at the opposite end to a Wagstaffe-Le Fort avulsion fracture
However, Type III fractures occur in 60% of all the open fracture cases. Infection of the Type III fractures is observed in 10% to 50% of the time. Therefore, in 1984, Gustilo subclassified Type III fractures into A, B, and C with the aim of guiding the treatment of open fractures, communication and research, and to predict outcomes.