Shin fractures, in particular fractures big and fibula, are one of the most widespread injuries of the lower extremities.
Fibula is a shin component. Depending on the directing blow and a type of damage the fracture of fibula is quite often combined together with a fracture of tibia. If to consider the nature of a fracture, then it can be divided on direct and indirect. The direct, or bumper blow, is considered more favorable as will much easier respond to treatment. Besides, after a fracture of fibula by means of a direct factor there is no set of splinters when crushing a skeleton.
The indirect factor is more adverse. There is such change when at the direction of damage along an axis of a bone there is a rotation (traction). After a fracture of fibula of an indirect factor there is a set of splinters in the direction of impact of blow. Damage arises on a spiral, occupying big sites of structure of a leg.
Elementary falling or blow can be the cause of a fracture of fibula. Similar changes in the period of ice are especially often observed in the winter. Quite often similar changes happen together with a tibial bone. However the tibial bone stronger and if it is not broken, treatment will be more reliable and bystry. Besides, the possibility of development of various complications significantly decreases: osteomyelitis, shift of bone fragments, etc.
It is rather easy to define a fracture of fibula. First of all, a symptom of a fracture of fibula is the visible shift of bones. The victim feels severe pain in attempt to lean on a sore leg. Because of a bruise the leg strongly swells, there are hematomas. Visually the leg can seem is shorter, can be twisted in relation to a healthy leg. If the axis at a change is not displaced, then the victim can carry out rotary motions. If there was a fracture only of one fibula, then the victim can even lean on a sore leg a little.
That the doctor could define precisely the nature of a fracture, the patient has to tell how there was an injury. The doctor estimates blow force, than it was put and in what party striking power was applied. Properties of a change directly depend on all these indicators.
To receive a full picture of an event, the doctor does a x-ray film in two projections. As a rule, diagnosis of a fracture of fibular bone does not represent big complexity. The doctor can experience some difficulties if there were various complications or when the change is localized in an intertibial joint. If the change happened in an upper third of a shin, then the doctor should consider that blood supply and an innervation of this site quite often suffers from it.
If there was a change without shift, then treatment of a fracture of fibula does not present special difficulties. Even if there is a simultaneous fracture of tibia, changes without shift will easier respond to treatment. The doctor imposes gypsum, since finger-tips of a leg and to that place which needs to be immobilized. It is necessary for prevention of shift of bone fragments.
If the blow was resulted by the shift of bone fragments, especially, if there was a shift of both bones, then first of all the doctor needs to redeem their correct situation. At cross blows imposing of bone plates can be required. If shift resulted not from cross blow, then perhaps implementation of spokes is a little higher and lower than the place of a change. These spokes fix and stretch the place of recovery.
Terms of recovery of a fracture of fibula depend on complexity of a change. On average, recovery demands two-three months. Usually bone callosity is formed only one and a half months later after a change. If the change is complicated by the shift of bones, then on rehabilitation about half a year also can be required more. The recovery period in many respects depends on the patient. It has to carry out accurately muscular exercises, visit massage and physiotherapy, and also to make thrifty use of the place of an injury.
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