Where is fibula bone

It may include some of the following approaches, used either alone or in combination:. An open fracture occurs when the bone or parts of the bone break through the skin. This type of fracture usually results from high-energy trauma or penetrating wounds. Open fractures of the tibia are common among children and adults. The treatment of an open tibial fracture starts with antibiotics and a tetanus shot to address the risk of infection.

Then the injury is cleaned to remove any debris and bone fragments. Surgery may also be needed depending on the wound size, amount of tissue damage and any vascular circulation problems. Open reduction and internal fixation is the surgery that can be used to reposition and physically connect the bones in an open fracture.

Wounds may be treated with vacuum-assisted closure. This procedure involves placing a piece of foam in the wound and using a device to apply negative pressure to draw the edges of a wound together.

Repeated cleanings prior to closing the wound may be used instead. The tibial tubercle is a bony bump on the upper part of the shin where the quadricep muscle is attached to the bone by the patellar tendon. A tibial tubercle fracture is a break or crack at this location. Until the bone becomes stronger, a strong tug by the tendon can cause this part of the bone to break.

This fracture typically occurs when trying to jump to dunk a basketball ball or do a flip. What are the symptoms of a broken tibia-fibula?

Generally, a tibia-fibula fracture is associated with: pain or swelling in the lower leg inability to stand or walk — this is less likely if only the fibula is broken limited range of motion in the knee or ankle area bruising or discoloration of the skin around the break What causes a broken tibia-fibula? Other imaging tests that can reveal damage to muscles, ligaments, or blood vessels around the bone include: magnetic resonance imaging MRI computed tomography scan CT, CAT scan bone scan How is a broken tibia-fibula treated?

Reduction A reduction is a non-operative procedure that is usually performed in the emergency department. What kind of cast is used for a broken tibia or tibia-fibula?

What kind of cast is used for a broken fibula? When is surgery necessary for a broken tibia-fibula? Your child may need surgery if they have a more complicated or severe fracture. How long does it take for a broken tibia-fibula to recover? Patient Resources Our experts in Orthopedic Urgent Care have created a series of helpful guides describing the different types of leg fractures, treatments, and how to care for them. The commitment and compassion with which we care for all children and families is matched only by the pioneering spirit of discovery and innovation that drives us to think differently, to find answers, and to build a better tomorrow for children everywhere.

Kevin B. Churchwell, President and CEO. There are several muscles of the leg, including some from the upper leg, that attach along the entire length of the fibula to include both ends and the shaft. The progression of the cross-section shapes of the shaft from triangular to irregular is driven by the insertion points of muscles and ligaments.

The most common significant medical conditions of the fibula are fractures. Trauma to the fibula can be caused by a single episode of significant force or repetitive high-impact exercise forces such as those related to running.

Repetitive high-impact exercise such as running and jumping can lead to stress fractures in the proximal third of the fibula. One study of military recruits in Korea had a 1. At the distal end of the fibula where it articulates with the talus, it creates the lateral malleolus.

Because the lateral malleolus is so prominent, it presents a vulnerable spot for an external force to potentially fracture the ankle , including the fibula. Also, extreme twisting motions of the ankle can lead to spiral fractures of the fibula at the distal end. While not specifically a fracture, ankle injuries can also disrupt the ligaments and bones of the tibiofibular syndesmosis, separating the tibia from the fibula at the point where they articulate, the fibular notch.

Pain in the proximal closest to the knee end of the fibula should be evaluated by a physician. In rare circumstances, tumors can occur in the proximal fibula. Tumors do not happen in the fibula with any greater frequency than they do in other parts of the skeleton, but they are often overlooked because it is a difficult area to examine.

A study of proximal fibula tumors found that pain significantly increased the possibility of a malignant tumor and warranted a visit to the doctor. In certain rare cases of complete fractures the bone is completely broken into more than one part of both the fibula and the tibia, the fibula can heal faster because it has more relative blood flow than the tibia. If not addressed, the fibula can harden and thicken to become more like the tibia. If that happens, the tibia might not grow back together at all.

That is known as a non-union of the tibia. Tibialization of the fibula is a limb salvaging procedure that can be done when there is severe bone loss and damage to the Tibia. Because of its lack of weight-bearing except for tibialization of the fibula as described above and dense vascularization, the fibula is a primary donor site for bone grafts to repair the mandible and a few other sites. Depending on the condition being treated, treatment and rehabilitation of the fibula can take different forms.

Complete fractures and orthopedic injuries to the distal fibula, including those of the tibiofibular syndesmosis, often require surgical repair and fixation with screws and plates. Sometimes, the fixation is temporary and will be removed after the bones have begun to heal. Post-surgery, the patient might be required to keep weight off the injured leg for six to eight weeks.

This is often accomplished with the use of a walking cast. When used as a donor site for a flap of bone to repair or rebuild the mandible, the donor section of the fibula is replaced with an osseointegrated implant—an artificial section of bone. In most cases, there need to be two donor sites on the fibula, but both sites come from the same bone. Patients are standing and walking within five days of the donor surgery, which usually included the mandible rebuild at the same time.

The use of home exercises and physical therapy can increase mobility and function after donating bone from a leg. Open fractures are often the result of a high-energy trauma or direct blow, such as a fall or motor vehicle collision. This type of fracture can also occur indirectly such as with a high-energy twisting type of injury.

The force required to cause these types of fractures means that patients will often receive additional injuries.

Some injuries could be potentially life-threatening. According to the American Academy of Orthopedic Surgeons, there is a 40 to 70 percent rate of associated trauma elsewhere within the body. Doctors will treat open fibula fractures immediately and look for any other injuries. Antibiotics will be administered to prevent infection. A tetanus shot will also be given if necessary. The wound will be cleaned thoroughly, examined, stabilized, and then covered so that it can heal.

An open reduction and internal fixation with plate and screws may be necessary to stabilize the fracture. If the bones are not uniting, a bone graft may be necessary to promote healing. The goal of treating closed fractures is to put the bone back in place, control the pain, give the fracture time to heal, prevent complications, and restore normal function. Treatment begins with the elevation of the leg. Ice is used to relieve the pain and reduce swelling.

If no surgery is needed, crutches are used for mobility and a brace, cast, or walking boot is recommended while healing takes place. Once the area has healed, individuals can stretch and strengthen weakened joints with the help of a physical therapist.