Fibular fracture

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Fibular Fracture

A fibular fracture is a break in the fibula, one of the two bones that make up the lower leg, the other being the tibia. The fibula runs parallel to the tibia and plays a crucial role in stabilizing the ankle and supporting the muscles of the lower leg. Fibular fractures can range from minor cracks in the bone to complete breaks and can occur at any point along the bone.

Causes[edit | edit source]

Fibular fractures are commonly caused by direct trauma to the lower leg, such as from a fall, sports injury, or motor vehicle accident. Indirect forces, such as twisting or rolling the ankle, can also lead to a fracture, especially in the distal fibula near the ankle. Overuse and repetitive stress can result in stress fractures of the fibula, which are common among athletes.

Symptoms[edit | edit source]

Symptoms of a fibular fracture include pain, swelling, and tenderness along the outer side of the lower leg or ankle. There may also be bruising, deformity, and difficulty bearing weight on the affected leg. In severe cases, the fracture may cause an obvious deformity if the bone is displaced.

Diagnosis[edit | edit source]

Diagnosis of a fibular fracture typically involves a physical examination and imaging tests. During the examination, a healthcare provider will assess the leg's appearance, swelling, and tenderness. X-rays are the most common imaging test used to confirm a fracture and determine its severity. In some cases, a CT scan or MRI may be necessary to obtain more detailed images, especially for complex fractures or to evaluate associated injuries to ligaments and soft tissues.

Treatment[edit | edit source]

Treatment for a fibular fracture depends on the fracture's location, type, and severity. Minor fractures may only require rest, ice, compression, and elevation (RICE), along with immobilization in a cast or splint to allow the bone to heal. Weight-bearing may be restricted for several weeks. More severe fractures, especially those involving displacement or damage to the ankle joint, may require surgical intervention. Surgery typically involves the use of metal plates, screws, or rods to stabilize the bone and allow for proper healing.

Recovery[edit | edit source]

Recovery time for a fibular fracture varies depending on the injury's severity and the treatment method. Minor fractures may heal within a few weeks, while more severe fractures may take several months to fully recover. Physical therapy is often recommended to restore strength, flexibility, and range of motion to the affected leg and ankle.

Prevention[edit | edit source]

Preventing fibular fractures involves minimizing the risk of trauma and injury to the lower leg. This can include wearing appropriate footwear, using protective gear during sports, and maintaining good physical conditioning to support the muscles and bones of the leg. Avoiding high-risk activities and addressing any issues that may contribute to falls or accidents can also help prevent fractures.


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Contributors: Prab R. Tumpati, MD