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Dr. Ebraheim’s educational animated video describes the isolated fibular fractures or associated complex injury, the diagnosis, prognosis, and the treatment options.
Fibular fracture is usually a part of a complex injury; however, it can be isolated.
Complex injuries where a fractured fibula can occur:
Fracture of the tibia and fibula.
Ankle fracture.
Pilon fracture.
Maisonneuve fracture.
Isolated fibular fractures are rare, and usually the result of direct trauma.
The fibula is carrying about 15% of the axial load, and the site of the muscle attachment for the peroneus muscles and the flexor hallucis longus muscle.
When you see a patient that has a fractured fibula and no other fracture, make sure the patient doesn’t have maisonneuve fracture, especially if there is no history of direct trauma to the leg.
The x-ray shows the fracture to be rotational or oblique.
Maisonneuve fracture will need surgery to fix the syndesmosis.
An isolated fracture of the fibula would not need surgery.
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