Tibial shaft fracture

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