Within a few minutes of the injury the leg will swell up. In the case of an isolated fracture of the fibula you may be able to walk, but with nearly all other fractures it is impossible to bear weight. Often the leg is deformed, either twisted or bent, and sometimes there is a wound where the bone has come out through the skin. The pain is made worse by any movement of the limb. People who suffer a fracture of the tibia and fibula have immediate pain at the site of the fracture. ![]() What symptoms do lower leg fractures cause? Pathological fractures through abnormal deposits in bone occur rarely. Falls in the elderly do sometimes cause fractures of the shin bone in these cases the fractures should be considered fragility fractures. Sports such as skiing, contact sports and tobogganing all cause their share of leg fractures. The leg may get caught in machinery causing severe fractures with extensive skin loss and potential for major injuries to muscle, tendons, nerves and arteries. It is also more likely that the displacement of the fracture fragments by the greater force will push one or more of them out through the skin, causing an open fracture.įractures of the tibia are common in high energy accidents such as MVAs or falling from a height. The term used to describe multiple fragments is comminution a fracture of this type is referred to as a comminuted fracture. The more force applied the more likely it is that there will be multiple fragments. Transverse fractures result from compression and spiral fractures result from twisting forces. Oblique fractures are usually caused by a bending force or direct impact. The different patterns of fracture of the tibia and fibula relate to the different mechanisms of injury. Related Document: Dynamics Physical Therapy's Guide to Ankle Anatomy It is not uncommon for fractures of the shin, especially open fractures to involve damage to either the blood supply to the foot or the nerve supply or both. The blood vessels and nerves that supply the foot are quite close to the bone. Fractures occur almost anywhere along the shaft of the tibia but the most common site is about two thirds the way down. Because the bone is just under the skin it is quite common for the jagged end of the bone to come through the skin when it breaks, causing an open fracture. There are muscles surrounding the tibia on the outer side and at the back the fibula is completely surrounded. If you put your finger on the inner side of the knee and run it down all the way to the inside of the ankle you can feel bone all the way down. ![]() The shaft has a triangular shaped cross-section and the inner front portion of the bone has only skin overlying it. The tibia is shaped a little like an inverted trumpet with a long straight shaft flaring out at the knee. What structures are most commonly injured? #testimonialslist|kind:all|display:slider|orderby:type|filter_utags_names:Foot therapy|limit:15|heading:Hear from some of our *Foot Therapy* patients# Anatomy
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