Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Proximal fibular fractureFibula stress fractureMidshaft fibular fractureMaisonneuve fractureDupuytren’s fracture ++ 823.0 Fracture of upper end of tibia and fibula closed823.01 Closed fracture of upper end of fibula823.02 Closed fracture of upper end of fibula with tibia823.1 Fracture of upper end of tibia and fibula open823.11 Open fracture of upper end of fibula823.12 Open fracture of upper end of fibula with tibia823.2 Fracture of shaft of tibia and fibula closed823.21 Closed fracture of shaft of fibula823.22 Closed fracture of shaft of fibula with tibia823.3 Fracture of shaft of tibia and fibula open823.31 Open fracture of shaft of fibula823.32 Open fracture of shaft of fibula with tibia823.4 Torus fracture of tibia and fibula823.41 Torus fracture of fibula alone823.42 Torus fracture of fibula with tibia823.8 Fracture of unspecified part of tibia and fibula closed823.81 Closed fracture of unspecified part of fibula823.82 Closed fracture of unspecified part of fibula with tibia823.9 Fracture of unspecified part of tibia and fibula open823.91 Open fracture of unspecified part of fibula823.92 Open fracture of unspecified part of fibula with tibia ++ S82.401A Unspecified fracture of shaft of right fibula, initial encounter for closed fractureS82.402A Unspecified fracture of shaft of left fibula, initial encounter for closed fractureS82.90XA Unspecified fracture of unspecified lower leg, initial encounter for closed fracture ++ 4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated With Fracture1 +++ Description ++ FractureAny defect in continuity of the fibulaDisplaced (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 ankleMaisonneuve fracture is a proximal fibular fracture from external rotation +++ Essentials of Diagnosis ++ Diagnosis usually made by clinical examinationMay be 3rd degree ankle sprain rather than fracture +++ General Considerations ++ Recent increases in number and severity secondary to an active older populationOften associated with tibia fracture or severe ankle sprainWeight-bearing and ambulation is possible with isolated fibula fractures +++ Demographics ++ Affects all ages +++ Signs and Symptoms ++ Pain, moderate to severePoint tenderness and swelling in the calfIncreased pain on weight-bearingInability to weight-bearEdemaEcchymosisBone deformityLoss of general functionLoss of active mobilityPoint tenderness over the fibular headMuscle guarding with passive movementNumbness or coldness below the fracture, impaired blood supply +++ Functional Implications ++ Pain with standingInability to weight-bear on injured lower extremityPain with open-chain ankle movements (e.g., driving) +++ Possible Contributing Causes ++ ... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free a profile for additional features.