Fibular Fracture: Difference between revisions
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== Clinical Presentation == | == Clinical Presentation == | ||
add text here relating to the clinical presentation of the condition<br> | add text here relating to the clinical presentation of the condition<br> | ||
== Epidemiology/Etiology == | |||
Fibular fractures in adults are often caused by trauma. Isolated fibular fractures contain the majority of ankle fractures in older women, occurring in approximately 1 to 2 of every 1000 white women each year.<ref>Hasselman CT, Vogt MT, Stone KL, et al. Foot and ankle fractures in elderly white women. Incidence and risk factors. J Bone Joint Surg Am 2003; 85-A:820.</ref> Fibular fractures may also occur as the result of repetitive loading and in this case they are referred to as stress fractures. | |||
== Risk factors == | |||
Bone mass is the key risk factor for fractures of the fibular or tibial shaft in older adults.Factors that reduce bone mass had greater impact than overall health status or other risk factors for falling. <ref>Makwana NK, Bhowal B, Harper WM, Hui AW. Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age. A prospective, randomised study. J Bone Joint Surg Br 2001; 83:525.</ref> Cigarette smoking is another important risk factor for fibular fractures.<ref>Kelsey JL, Keegan TH, Prill MM, et al. Risk factors for fracture of the shafts of the tibia and fibula in older individuals. Osteoporos Int 2006; 17:143.</ref> | |||
Fibular fractures are more common among athlethes engaged in sports that involve cutting, particularly those associated with contact or collision, for example American football, soccer and rugby <ref>Slauterbeck JR, Shapiro MS, Liu S, Finerman GA. Traumatic fibular shaft fractures in athletes. Am J Sports Med 1995; 23:751.</ref>. Participants in downhill winter sports have relatively high rates of fibular fractures. These are more common in snowboarding than skiing, and fracture patterns are different for each. Skiers often fracture the proximal third of the tibia and also the fibula, whereas snowboarders are more likely to sustain isolated fractures of the distal third of the fibula <ref>Patton A, Bourne J, Theis JC. Patterns of lower limb fractures sustained during snowsports in Otago, New Zealand. N Z Med J 2010; 123:20.</ref>. | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
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<references /> | <references />Fibular fractures may also occur as the result of repetitive loading and in this case they are referred to as stress fractures. | ||
[[Category:Open_Physio]] | [[Category:Open_Physio]] | ||
[[Category:Primary Contact]] | [[Category:Primary Contact]] | ||
[[Category:Acute Care]] | [[Category:Acute Care]] | ||
Revision as of 12:50, 27 January 2019
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Clinically Relevant Anatomy[edit | edit source]
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Mechanism of Injury / Pathological Process[edit | edit source]
The Danis-Weber classification[1]
Type A is a transverse fibular fracture caused by adduction and internal rotation.
Type B, is caused by external rotation, it is shown as a short oblique fibular fracture directed mediolaterally upward from the tibial plafond.
There are two type C fractures: type C 1 is an oblique medial-to-lateral fibular fracture which is caused by abduction.
type C 2 fractures result from a combination of abduction and external rotation, producing more extensive syndesmotic injury and a higher fibular fracture.
In more simple terms Danis-Weber Classification:
The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint.
Type A: fracture below the ankle joint
Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact.
Type C: fracture above the joint level which tears the syndesmotic ligaments.
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition
Epidemiology/Etiology[edit | edit source]
Fibular fractures in adults are often caused by trauma. Isolated fibular fractures contain the majority of ankle fractures in older women, occurring in approximately 1 to 2 of every 1000 white women each year.[2] Fibular fractures may also occur as the result of repetitive loading and in this case they are referred to as stress fractures.
Risk factors[edit | edit source]
Bone mass is the key risk factor for fractures of the fibular or tibial shaft in older adults.Factors that reduce bone mass had greater impact than overall health status or other risk factors for falling. [3] Cigarette smoking is another important risk factor for fibular fractures.[4]
Fibular fractures are more common among athlethes engaged in sports that involve cutting, particularly those associated with contact or collision, for example American football, soccer and rugby [5]. Participants in downhill winter sports have relatively high rates of fibular fractures. These are more common in snowboarding than skiing, and fracture patterns are different for each. Skiers often fracture the proximal third of the tibia and also the fibula, whereas snowboarders are more likely to sustain isolated fractures of the distal third of the fibula [6].
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Key Evidence[edit | edit source]
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Resources[edit | edit source]
References[edit | edit source]
- ↑ Lauge-Hansen N: Fractures of the ankle: combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 1950;60(5):957-985
- ↑ Hasselman CT, Vogt MT, Stone KL, et al. Foot and ankle fractures in elderly white women. Incidence and risk factors. J Bone Joint Surg Am 2003; 85-A:820.
- ↑ Makwana NK, Bhowal B, Harper WM, Hui AW. Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age. A prospective, randomised study. J Bone Joint Surg Br 2001; 83:525.
- ↑ Kelsey JL, Keegan TH, Prill MM, et al. Risk factors for fracture of the shafts of the tibia and fibula in older individuals. Osteoporos Int 2006; 17:143.
- ↑ Slauterbeck JR, Shapiro MS, Liu S, Finerman GA. Traumatic fibular shaft fractures in athletes. Am J Sports Med 1995; 23:751.
- ↑ Patton A, Bourne J, Theis JC. Patterns of lower limb fractures sustained during snowsports in Otago, New Zealand. N Z Med J 2010; 123:20.
Fibular fractures may also occur as the result of repetitive loading and in this case they are referred to as stress fractures.
