Tibial shaft fracture: Difference between revisions
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==Background== | ==Tibial Plateau== | ||
===Background=== | |||
*Medial condyle + intercondylar eminence + lateral condule | *Medial condyle + intercondylar eminence + lateral condule | ||
**Intercondylar eminence is where ACL attaches | **Intercondylar eminence is where ACL attaches | ||
| Line 5: | Line 7: | ||
*Compartment syndrome may occur | *Compartment syndrome may occur | ||
==Diagnosis== | ===Diagnosis=== | ||
*TTP | *TTP | ||
*Knee effusion | *Knee effusion | ||
==Work-Up== | ===Work-Up=== | ||
*AP, lateral, and intercondylar notch views | *AP, lateral, and intercondylar notch views | ||
**If suspicion high but xray negative consider MRI or CT | **If suspicion high but xray negative consider MRI or CT | ||
==Management== | ===Management=== | ||
*Plateau Fracture | *Plateau Fracture | ||
**RICE | **RICE | ||
| Line 19: | Line 21: | ||
**NWB | **NWB | ||
===Disposition=== | |||
==Disposition== | |||
*Indications for referral within 48hr: | *Indications for referral within 48hr: | ||
**Significant displacement or depression | **Significant displacement or depression | ||
**Suspected or documented ligamentous injury | **Suspected or documented ligamentous injury | ||
==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== | ==Source== | ||
Revision as of 02:37, 17 April 2011
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
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