Distal leg fractures: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Calf pain DDX}} | {{Calf pain DDX}} | ||
==Evaluation== | |||
===Workup=== | |||
*XR tib/fib (distal leg) 2 view | |||
*Consider need for dedicated knee films and/or CT | |||
*Consider need for more proximal or distal plain films | |||
===Diagnosis=== | |||
<gallery mode="packed"> | |||
File:WeberARadiopediaOB.jpg|[[Ankle fracture]] | |||
File:Maisonneuve fracture.jpg|[[Maisonneuve fracture]] | |||
File:Pilon fracture xray.jpg|[[Pilon fracture]] | |||
File:TibPlateauBadMark.png|[[Tibial plateau fracture]] | |||
File:Tibfracture.png|[[Toddler's fracture]] | |||
</gallery> | |||
==Management & Disposition== | ==Management & Disposition== | ||
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==See Also== | ==See Also== | ||
*[[Fractures (main)]] | *[[Fractures (main)]] | ||
**[[Foot and toe fractures]] | |||
*[[Splinting]] | *[[Splinting]] | ||
Latest revision as of 20:27, 22 March 2023
Background
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Clinical Features
- History of trauma
- Pain over fracture site
Differential Diagnosis
Calf pain
- Achilles tendon rupture
- Calcaneal bursitis
- Cellulitis
- Compartment syndrome
- Deep venous thrombosis (DVT)
- Distal leg fractures
- Gastrocnemius strain
- Ruptured popliteal cyst (Bakers cyst)
- Superficial thrombophlebitis
Evaluation
Workup
- XR tib/fib (distal leg) 2 view
- Consider need for dedicated knee films and/or CT
- Consider need for more proximal or distal plain films
Diagnosis
Management & Disposition
Distal Leg Fractures Management Chart
| Fracture | Splint | Disposition |
| Tibial plateau fracture | Knee immobilizer | Ortho referral in 2-7d |
| Tibial shaft fracture | Long leg posterior splint | |
| Pilon Fracture | Long leg posterior splint | |
| Maisonneuve Fracture | Long leg posterior splint | |
| Ankle fracture | Posterior ankle splint |