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191: FIBULA FRACTURE

Jennifer Cabrera, DPT, GCS; Eric Shamus, PhD, DPT, PT, CSCS

CONDITION/DISORDER SYNONYMS

  • Proximal fibular fracture

  • Fibula stress fracture

  • Midshaft fibular fracture

  • Maisonneuve fracture

  • Dupuytren fracture

ICD-9-CM CODES

  • 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

ICD-10-CM CODES

  • 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

PREFERRED PRACTICE PATTERN

  • 4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated with Fracture1

FIGURE 191-1

(A) Anteroposterior and (B) lateral radiographs of a displaced midshaft tibia fracture. (From Doherty GM. Current Diagnosis & Treatment: Surgery. 13th ed. www.accessmedicine.com. Copyright ©The McGraw-Hill Companies, Inc. All rights reserved.)

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PATIENT PRESENTATION

A 55-year-old man was involved in a motor vehicle accident. He reported acute lower leg pain immediately after the accident. He was unable to bear weight on the foot upon exiting his vehicle. He presented with pain, swelling of the lower leg, ankle, and foot with notable hematoma. Radiographs showed a nondisplaced oblique fracture of the distal fibula. Patient referred to physical therapy 3 weeks later wearing a cam walker.

KEY FEATURES

Description

  • Fracture2

  • Any defect in continuity of the fibula

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

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

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

  • Maisonneuve fracture is a proximal fibular fracture from external rotation

Essentials of Diagnosis

  • Diagnosis usually made ...

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