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Fibular Head Fracture

by Matthew Cardona and Tanner Dillenbeck

Diagnosis

Rehabilitation

  • Requires a thorough history and physical exams.
  • If the mechanism of injury is blunt trauma, a full LE exam is necessary, as this injury is usually not alone.
  • Knee instability.
  • Deformity or tenderness to touch.
  • There are a number of x-rays that can be helpful in more serious cases, such as MRI's and CAT Scans.
  • Rehab may include the following:
  • Soft tissue massage.
  • Joint mobilization.
  • Electrotherapy (e..g.; ultrasound)
  • Taping or bracing.
  • The use of a protective boot.
  • The use of crutches.
  • Exercise to increase strength, flexibility, and balance.
  • Hydrotherapy.
  • Education.
  • Activity Modification.
  • A "Graduated Return To Activity" plan.

Treatment

  • Treatment of these fractures is decided by the associated ligamentous or nuerovascular injury.
  • Most injuries may be treated symptomatically in a hinged knee brace.
  • Appropriate pain control may be necessary.
  • Does not require stabalizing.
  • If distal, it may require fixation near the ankle.
  • Closed reduction and casting is an additional treatment option.

Recovery/How Long it Takes to Heal

Mechanism of Injury

  • 6-8 weeks in a hinged knee brace.
  • If the distal tibiofilular joint is unstable, closed reduction or casting is an option that lasts 4-6 weeks.
  • An additional 2-3 weeks is required after these steps to strengthen the injury. However, this can very with the severity of the injury.
  • These injuries result from an external rotation force applied to the ankle in which the force of the injury propagates along the intraosseous membrane to exit of proximal fibular resulting in proximal fibular fractures.
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