Tibial shaft fracture: Difference between revisions
| Line 11: | Line 11: | ||
==Treatment== | ==Treatment== | ||
*Long leg posterior splint | *[[Long leg posterior splint]] | ||
**Knee at 5 degrees flexion, foot in slight plantarflexion | **Knee at 5 degrees flexion, foot in slight plantarflexion | ||
*Rule-out compartment syndrome | *Rule-out compartment syndrome | ||
Revision as of 15:49, 6 November 2015
Background
- Open fracture is common due to minimal amount of subcutaneous tissue
- Fibula is often fractured as well
Clinical Features
- Localized pain/swelling
- Inability to bear weight
Differential Diagnosis
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Treatment
- Long leg posterior splint
- Knee at 5 degrees flexion, foot in slight plantarflexion
- Rule-out compartment syndrome
Disposition
- Consider discharge if low-energy injury and pt not at risk of compartment syndrome
See Also
Source
- Tintinalli