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  • Proximal fibular fracture
  • Fibula stress fracture
  • Midshaft fibular fracture
  • Maisonneuve fracture
  • Dupuytren’s fracture

  • 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

  • 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

Description

  • 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

Essentials of Diagnosis

  • Diagnosis usually made by clinical examination
  • May be 3rd degree ankle sprain rather than fracture

General Considerations

  • 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

Demographics

  • Affects all ages

Signs and Symptoms

  • 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

Functional Implications

  • Pain with standing
  • Inability to weight-bear on injured lower extremity
  • Pain with open-chain ankle movements (e.g., driving)

Possible Contributing Causes

  • Impaired standing balance
  • History of high-impact activities
  • ...

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