Tibial shaft fracture: Difference between revisions

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==Tibial Plateau==
===Background===
*Medial condyle + intercondylar eminence + lateral condule
**Intercondylar eminence is where ACL attaches
*Ligamentous and meniscal injuries are common
*Compartment syndrome may occur
===Diagnosis===
*TTP
*Knee effusion
===Work-Up===
*AP, lateral, and intercondylar notch views
**If suspicion high but xray negative consider MRI or CT
===Management===
*Plateau Fracture
**RICE
**Splint in full extension
**NWB
===Disposition===
*Indications for referral within 48hr:
**Significant displacement or depression
**Suspected or documented ligamentous injury
==Tibial Shaft Fracture==
==Tibial Shaft Fracture==
===Signs/Symptoms===
===Signs/Symptoms===

Revision as of 19:19, 22 April 2011

Tibial Shaft Fracture

Signs/Symptoms

  • Localized pain/swelling
  • Inability to bear weight

Conservative versus operative management

  • ≥10 degrees of rotation in any plane
  • Angulation ≥10 degrees
  • ≥5 mm of displacement

Initial Management

  • RICE
  • Long leg posterior splint
  • NWB

Source

UpToDate

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