12/29/2023 0 Comments Stress fracture shinX-rays can show whether a bone is intact or broken. X-rays. The most common way to evaluate a fracture is with x-rays, which provide clear images of bone. He or she will check for bruising, swelling, and open wounds, and will assess the nerve and blood supply to your injured leg and foot. Your provider will examine the soft tissue surrounding the knee joint. He or she will also talk to you about your symptoms and any other medical problems you may have, such as diabetes. Your provider will ask for details about how the injury happened. How is an upper tibia fracture diagnosed? Medical History and Physical Examination If you have these symptoms after an injury, go to the nearest hospital emergency room for an evaluation. Numbness around the foot - Numbness, or "pins and needles," around the foot raises concern about nerve injury or excessive swelling within the leg.Pale, cool foot - A pale appearance or cool feeling to the foot may suggest that the blood supply is in some way impaired.Deformity - The knee may look "out of place".Swelling around the knee and limited bending of the joint.Pain that is worse when weight is placed on the affected leg.What are symptoms of an upper tibia fracture? Older persons with poorer quality bone often require only low-energy injury (fall from a standing position) to create these fractures. Young people experience these fractures often as a result of a high-energy injury, such as a fall from considerable height, sports-related trauma, and motor vehicle accidents. Most, however, are the result of trauma (injury). What causes upper tibia fractures?Ī fracture of the upper tibia can occur from stress (minor breaks from unusual excessive activity) or from already compromised bone (as in cancer or infection). They have a higher risk for problems like infection, and take a longer time to heal. Open fractures often involve much more damage to the surrounding muscles, tendons, and ligaments. An open fracture is when a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone. Proximal tibia fractures can be closed - meaning the skin is intact - or open. This damage to the surface of the bone may result in improper limb alignment, and over time may contribute to arthritis, instability, and loss of motion. The impact often causes the cancellous bone to compress and remain sunken, as if it were a piece of Styrofoam that has been stepped on. The top surface of the tibia (the tibial plateau) is made of cancellous bone, which has a "honeycombed" appearance and is softer than the thicker bone lower in the tibia.įractures that involve the tibial plateau occur when a force drives the lower end of the thighbone (femur) into the soft bone of the tibial plateau, similar to a die punch. ![]() These types of fractures are called intra-articular or tibial plateau fractures. Sometimes these fractures extend into the knee joint and separate the surface of the bone into a few (or many) parts. The bone can break straight across (transverse fracture) or into many pieces (comminuted fracture)Įxamples of different types of proximal tibia fractures. There are several types of upper shinbone fractures. What are the different types of upper shinbone fractures? In addition, the way the ends of the bones are shaped help to keep the knee properly aligned. They also work as restraints - allowing some types of knee movements, and not others. Ligaments and tendons act like strong ropes to hold the bones together. Three bones meet to form the knee joint: the femur (thighbone), tibia (shinbone), and patella (kneecap). The knee is the largest weight-bearing joint of the body. ![]() In many cases, surgery is required to restore strength, motion, and stability to the leg, and reduce the risk for arthritis. Both the broken bone and any soft- tissue injuries must be treated together. In addition to the broken bone, soft tissues (skin, muscle, nerves, blood vessels, and ligaments) may be injured at the time of the fracture. The proximal tibia is the upper portion of the bone where it widens to help form the knee joint. (Right) Ligaments connect the femur to the tibia and fibula (kneecap not shown).Ī fracture, or break, in the shinbone just below the knee is called a proximal tibia fracture. (Left) The proximal tibia is the upper portion of the bone, closest to the knee. We offer diagnosis and treatment in over 70 specialties and subspecialties, as well as programs, services, and support to help you stay well throughout your lifetime. BMC physicians are leaders in their fields with the most advanced medical technology at their fingertips and working alongside a highly skilled nursing and professional staff.
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