Based on regular mortise radiographs, 13.6% of the respondents chose surgical treatment in case of a medial clear space (MCS) > 4 mm, 33.8% in case of a MCS > 6 mm and 45.5% in case of a MCS > 4 mm in addition to the MCS ≥ superior clear space + 1 mm. The location of the fracture dictates restrictions placed on patients, and immobilization. This study found that distal fibular stress fractures are the most common location and most common in women. Maisonneuve fractures are fractures of the proximal fibula that occur in association Materials & methods: Isolated fractures of the fibular shaft are uncommon and are usually the result of a direct blow. Copyright © 2019 Elsevier Ltd. All rights reserved. Results: A fibula fracture where there is no fracture of the tibia can also occur from landing on a twisted foot. By continuing you agree to the use of cookies. Isolated fibular fractures comprise the majority of ankle fractures in older women, occurring in approximately 1 to 2 of every 1000 white women each year [1]. Initial Fibular Displacement as a Predictor of Medial Clear Space Widening in Weber B Ankle Fractures. Get the latest public health information from CDC: https://www.coronavirus.gov. 2019 Nov;50(11):2113-2115. doi: 10.1016/j.injury.2019.07.027. Of them, 32.0% treat more than 30 ankle fractures a year. Also, respondents were asked to state their preferred treatment of eight separate cases. In total, 161 surgeons participated, covering 68 different hospitals in the Netherlands. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. The Weber criteria relates the position of the distal fibula fracture to the syndesmosis (4). The ICD-10-CM code utilized in the diagnosis of fibular fracture is S82.4 [7]. Introduction: Consequently many stable ankle fractures are treated operatively unnecessarily. The aim of the current study is to gain more insight in current practice and treatment of type B fractures by Dutch trauma- and orthopaedic surgeons. The Weber criteria relates the position of the distal fibula fracture to the syndesmosis (4). In fractures without evident medial injury, additional diagnostics like MRI scan or gravity stress test should be done to differentiate between a stable and unstable fracture. The aim of the current study is to gain more insight in current practice and treatment of type B fractures by … An isolated fibula fracture can, in some circumstances, be considered like a bad ankle sprain." Keywords: This may occur because of a bad landing from a jump or impact following a vehicular accident. Fibular stress fractures are an uncommon phenomenon with few well defined risk factors. The most common location for an isolated fibular stress fracture was in the distal third of the fibula, which was observed in 9 patients, (69.2%), followed by the proximal third in 3 patients (23.1%), and the middle third in one patient (7.7%). Published by Elsevier Ltd. All rights reserved. Stress examination of supination external rotation-type fibular fractures. 2004 Oct;86(10):2171-8. doi: 10.2106/00004623-200410000-00007. Radiographic images demonstrating evidence of an isolated ISF fracture were marked for study inclusion. https://doi.org/10.1016/j.fas.2019.12.004. This survey consisted of questions regarding diagnostics and treatment of isolated distal fibula fractures. A nationwide survey. 2017 Mar;22(1):35-63. doi: 10.1016/j.fcl.2016.09.004. Cavanaugh ZS, Gupta S, Sathe VM, Geaney LE. Clipboard, Search History, and several other advanced features are temporarily unavailable. Conclusion: It’s the most common tibial shaft fracture. J Bone Joint Surg Am. Distal third fibula stress fractures were most common and associated with hindfoot valgus. NIH There are many different classifications used for these fractures. Please enable it to take advantage of the complete set of features! Because the fibula is not a weight-bearing bone, your doctor might allow you walk as the injury recovers. This study investigated the demographic and radiographic risk factors for fibular stress fractures. Causes of Fibula Fracture. Of them, 56% decides to treat surgically in these cases, even with proven medial stability. Or it can also result from a direct impact to the lower leg. ICD10 of Fibula Fracture. Fibular stress fractures are uncommon injuries with an incompletely understood pathogenesis and predisposing characteristics. For the purpose of this review, we will use the Danis-Weber criteria for lateral fibula fractures. However, pain in the calf area is likely to be a lot less than a combined tibia-fibula fracture. It is caused by a rotational or twisting force such as a sports injury or a fall. HHS Foot Ankle Int. This could be due to a greater amount of axial force through the lateral distal tibia and fibula during ambulation. ... Tibia and fibula fractures … We use cookies to help provide and enhance our service and tailor content and ads. The shaft of the fibula serves as origin for the peroneus longus, peroneus brevis, peroneus tertius, extensor digitorum longus, … Fibular dislocation of ≥ 2 mm was used as an indication for surgical treatment by 69%. Hollensteiner M, Sandriesser S, Bliven E, von Rüden C, Augat P. Curr Osteoporos Rep. 2019 Dec;17(6):363-374. doi: 10.1007/s11914-019-00535-9. 2018 Jul;39(7):865-873. doi: 10.1177/1071100718768509. Biomechanics of Osteoporotic Fracture Fixation. © 2020 European Foot and Ankle Society. For example, an isolated fracture, such as a fracture in the shaft of the fibula bone is uncomplicated and complete healing is high. Isolated fibula fracture symptoms. Infrasyndesmotic fibula fractures were defined as a fracture of the distal fibula that did not extend above the level of the tibial plafond on either coronal or sagittal radiographic views. Isolated distal fibula fractures account for up to 55-65% of all ankle fractures (4). Anatomy. In fractures without evident medial injury, additional diagnostics like MRI scan or gravity stress test should be done to differentiate between a stable and unstable fracture.