Tibial shaft fracture: Difference between revisions

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==Tibial Shaft Fracture==
==Background==
===Signs/Symptoms===
*Open fracture is common due to minimal amount of subcutaneous tissue
*Fibula is often fractured as well
 
==Clinical Features==
*Localized pain/swelling
*Localized pain/swelling
*Inability to bear weight
*Inability to bear weight


===Conservative versus operative management===
==Treatment==
*≥10 degrees of rotation in any plane
*Long leg posterior splint
*Angulation ≥10 degrees
**Knee at 5 degrees flexion, foot in slight plantarflexion
*≥5 mm of displacement
*Rule-out compartment syndrome


===Initial Management===
==Disposition==
*RICE
*Consider discharge if low-energy injury and pt not at risk of compartment syndrome
*Long leg posterior splint
*NWB


==See Also==
==See Also==
Line 18: Line 19:


==Source==
==Source==
UpToDate
*Tintinalli
 


[[Category:Ortho]]
[[Category:Ortho]]

Revision as of 21:06, 13 February 2012

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

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

Tibia Fx (Peds)

Source

  • Tintinalli