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Condition/Disorder Synonyms

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  • Proximal fibular fracture

  • Fibula stress fracture

  • Midshaft fibular fracture

  • Maisonneuve fracture

  • Dupuytren's fracture

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ICD-9-CM Code

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  • 823.0 Fracture of upper end of tibia and fibula closed

  • 823.01 Closed fracture of upper end of fibula

  • 823.02 Closed fracture of upper end of fibula with tibia

  • 823.1 Fracture of upper end of tibia and fibula open

  • 823.11 Open fracture of upper end of fibula

  • 823.12 Open fracture of upper end of fibula with tibia

  • 823.2 Fracture of shaft of tibia and fibula closed

  • 823.21 Closed fracture of shaft of fibula

  • 823.22 Closed fracture of shaft of fibula with tibia

  • 823.3 Fracture of shaft of tibia and fibula open

  • 823.31 Open fracture of shaft of fibula

  • 823.32 Open fracture of shaft of fibula with tibia

  • 823.4 Torus fracture of tibia and fibula

  • 823.41 Torus fracture of fibula alone

  • 823.42 Torus fracture of fibula with tibia

  • 823.8 Fracture of unspecified part of tibia and fibula closed

  • 823.81 Closed fracture of unspecified part of fibula

  • 823.82 Closed fracture of unspecified part of fibula with tibia

  • 823.9 Fracture of unspecified part of tibia and fibula open

  • 823.91 Open fracture of unspecified part of fibula

  • 823.92 Open fracture of unspecified part of fibula with tibia

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ICD-10-CM Code

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  • S82.401A Unspecified fracture of shaft of right fibula, initial encounter for closed fracture

  • S82.402A Unspecified fracture of shaft of left fibula, initial encounter for closed fracture

  • S82.90XA Unspecified fracture of unspecified lower leg, initial encounter for closed fracture

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Preferred Practice Pattern

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Key Features

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Description

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  • Fracture

  • Any defect in continuity of the fibula

  • Displaced (fibula is moved on either side of the fracture) or non-displaced (fibula has not moved)

  • Closed (skin is intact) or open (skin is breached)

  • Dupuytren's fracture: proximal fibular fracture, involves the syndesmosis at the ankle

  • Maisonneuve fracture is a proximal fibular fracture from external rotation

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Essentials of Diagnosis

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  • Diagnosis usually made by clinical examination

  • May be 3rd degree ankle sprain rather than fracture

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General Considerations

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  • Recent increases in number and severity secondary to an active older population

  • Often associated with tibia fracture or severe ankle sprain

  • Weight-bearing and ambulation is possible with isolated fibula fractures

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Demographics

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  • Affects all ages

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Clinical Findings

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Signs and Symptoms

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  • Pain, moderate to severe

  • Point tenderness and swelling in the calf

  • Increased pain on weight-bearing

  • Inability to weight-bear

  • Edema

  • Ecchymosis

  • Bone deformity

  • Loss of general function

  • Loss of active mobility

  • Point tenderness over the fibular head

  • Muscle guarding with passive movement

  • Numbness or coldness below the fracture, impaired blood supply

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Functional Implications

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