Fibular fracture
Classification according to ICD-10 | |
---|---|
S82 | Fracture of the lower leg, including the upper ankle |
S82.4 | Fracture of the fibula, isolated |
S82.6 | Fracture of the outer malleolus fibula, involving the upper ankle joint |
S82.8 | Fractures of other parts of the lower leg - bimalleolar fracture - trimalleolar fracture |
ICD-10 online (WHO version 2019) |
The fibular fracture is a fracture ( latin Fractura ) of the fibula (lat. Fibula ).
Accident mechanism
- Fibular fractures in the shaft area can result from direct impact trauma (e.g. football foul).
- Fractures in the area of the outer ankle are usually caused by a sprain (twisting) trauma and can then be assigned to ankle fractures . These also include the high fibular shaft fracture with ankle joint injury, which is then called the Maisonneuve fracture .
- The fracture of the fibular head is usually an avulsion fracture of the outer collateral ligament on the knee and therefore always an indication of a serious knee joint injury.
Diagnosis
The diagnosis is made with x-rays in two planes. Special features of the ankle fracture see there.
treatment
Pure shaft fractures usually do not require any specific treatment ( Berti Vogts continued to play for 80 minutes after a fibular shaft fracture), since the fibular shaft is not a force carrier and the fractures are very rarely significantly displaced (the fibula is held in place by the interosseous membrane ). A tight elastic bandage or tape is usually sufficient. However , if there is significant swelling, a possible compartment syndrome must be considered. For the treatment of ankle fractures s. there.
literature
- Axel Rüter u. a. (Ed.): Trauma surgery . Study edition, Elsevier, Urban & Fischer, Munich 2008, ISBN 978-3-437-21851-4 .
- Leonhard Schweiberer (Ed.): Conservative and operative fracture treatment (Traumatology; Vol. 1). 2nd Edition. Urban & Schwarzenberg, Munich 1987, ISBN 3-541-14482-3 (Surgical operation theory; Vol. 8).
Web links
- Non-updated guideline "Ankle fracture" of the German Society for Trauma Surgery ( Memento from December 15, 2007 in the Internet Archive )