Fibular fracture

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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).

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