Tibial shaft fracture: Difference between revisions
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{{Distal leg fractures DDX}} | {{Distal leg fractures DDX}} | ||
== | ==Management== | ||
*[[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 | ||
Revision as of 03:13, 10 July 2016
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
Management
- 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 patient not at risk of compartment syndrome