Distal Tibial Fractures
Distal Tibial Fractures
Definition
Metaphyseal
Extra-articular
Intra-articular Extension
Metaphyseal
Extra-articular
Complex / high energy injuries
Management of soft tissues critical
- restore length with external fixation
- await for swelling to reduce
Restoration of alignment & joint surface imperative
Outcome guarded
Benign, bone-forming neoplasm
- characterized by a small nidus of neoplastic tissue
- surrounded by a wide zone of mature, reactive bone
10% of benign bone tumours
Age 5-25
M:F 2:1
Unknown
- thought may be glomus tumour of bone
Pain secondary to prostaglandin production
1. Dorsal lip fracture / Tuberosity fracture
- avulsion fractures
- most common
- beware avulsion T post
2. Body fracture
3. Stress Fractures
Types
A. Transverse fracture in coronal plane
B. Transverse from dorsolateral to plantarmedial
C. Central or lateral comminution
Cervical spondylosis
- chronic disc degeneration & associated facet arthropathy
Cervical myelopathy
- spinal cord dysfunction
- secondary to extrinsic compression of cord or its vascular supply
Cervical radiculopathy
- sclerotomal distribution of motor &/or sensory symptoms or signs
- due to compression of nerve root