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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.
823 Fracture of tibia and fibula; 824 Fracture of ankle; 825 Fracture of one or more tarsal and metatarsal bones; 826 Fracture of one or more phalanges of foot; 827 Other, multiple, and ill-defined fractures of lower limb; 828 Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum; 829 ...
Type IV = Medial tibial plateau fracture, with or without depression; may involve tibial spines; associated soft tissue injuries. This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee.
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]
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.
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:
The Gosselin fracture is a V-shaped fracture of the distal tibia which extends into the ankle joint and fractures the tibial plafond into anterior and posterior fragments. [ 1 ] The fracture was described by Leon Athanese Gosselin , chief of surgery at the Hôpital de la Charité in Paris.
The Bosworth fracture is a rare fracture of the distal fibula with an associated fixed posterior dislocation of the proximal fibular fragment which becomes trapped behind the posterior tibial tubercle. The injury is caused by severe external rotation of the ankle. [1]