Concomitant Ankle Injuries Associated With Tibial Shaft Fractures

Jung, Ki Jin; Chung, Chin Youb; Park, Moon Seok; Chung, Myung Ki; Lee, Dong Yeon; Koo, Seungbum; Lee, Kyoung Min

doi:10.1177/1071100715588381

Cited by 25 publications

(20 citation statements)

References 11 publications

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“…All patients with tibial shaft fractures underwent CT examinations between 2012 and 2017; the obtained data was retrospectively analyzed. The exclusion criteria were as follows: fractures primarily involving the knee joint (tibial plateau fractures); fractures primarily involving the ankle joint (uni-, bi-, and trimalleolar ankle fractures); old fractures or fractures due to unhealed fractures; congenital dysplasia; neuromuscular disorders; infections; bone tumors and other diseases possibly altering the normal anatomy of skeletal muscle; bilateral comminuted tibial shaft fractures; and fractures without ipsilateral ankle CT images or fractures with X-ray filming excluding the full length of the tibia and fibula [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

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Pre-operative radiographic findings predicting concomitant posterior malleolar fractures in tibial shaft fractures: a comparative retrospective study

Huang

Yuan

Xie

et al. 2018

BMC Musculoskelet Disord

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BackgroundA concomitant tibial shaft and posterior malleolar fracture is a type of regular compound fracture. The associated posterior malleolar fractures are mostly occult fractures, which often do not show a fracture line on ordinary films, and thus lead to a high rate of misdiagnosis. The aim of the present study was to investigate factors helpful for the pre-operative detection of concomitant posterior ankle fractures using the ipsilateral radiographic tibia and fibula shaft fracture characteristics.MethodsOne hundred eleven adult patients with tibial shaft fractures were selected using inclusion and exclusion criteria. Pre-operative ankle radiographs and computed tomography (CT) scans were obtained for all patients, and clinical data, including age and gender, were collected. Patients were divided into two groups (posterior malleolar fracture and no posterior malleolar fracture groups). Fracture height, fracture length, fracture shape, and Haraguchi type of posterior malleolar fracture were measured on radiographs and CT images, and were compared between the two groups. Multiple logistic regression analysis was performed to identify the factors that significantly contributed to concomitant posterior malleolar fractures. Receiver operating characteristic curves were calculated, and cut-off values were used to predict posterior malleolar fractures on pre-operative imaging measurements.ResultsOf the 111 patients with tibial shaft fractures, 42 (37.8%) had a concurrent posterior malleolar fracture. Age, gender and affected side were not significantly different, but tibial fracture location, fracture length, and fibular and tibial fracture shape were significantly different between the two groups. In the multiple logistic analysis, tibial fracture location, fracture length, and tibial fracture shape were shown to be significant factors contributing to posterior malleolar fractures. Receiver operating characteristic curves showed that the status of tibial shaft fractures is closely related to the associated posterior malleolar fracture.ConclusionIpsilateral posterior ankle fractures are commonly associated with tibial shaft fractures, especially spiral-type injuries. An analysis of the imaging features of such fractures and evaluation of the diagnostic value of various methods can provide imaging basics for the development of accurate and appropriate treatment options.

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Section: Methodsmentioning

confidence: 99%

“…Similarly, fibular fracture location was calculated as the percentage between the distal and proximal tips of the fibula. Fracture length was defined as the vertical height between the lowest and highest points of the fracture line of the tibial shaft [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

Pre-operative radiographic findings predicting concomitant posterior malleolar fractures in tibial shaft fractures: a comparative retrospective study

Huang

Yuan

Xie

et al. 2018

BMC Musculoskelet Disord

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“…6 Similarly, with open clavicle fractures, pulmonary and cranial injuries are important to suspect and recognize early. 7 Although a few studies have examined injuries associated with tibial shaft fractures such as ankle, posterior malleolus, and ligamentous injuries, [8][9][10][11] no previous study has characterized overall bony and internal organ injuries that are associated with tibial shaft fractures.…”

Section: Introductionmentioning

confidence: 99%

Tibial shaft fracture: A large-scale study defining the injured population and associated injuries

Anandasivam

Russo

Swallow

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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This is the first large-scale study to define the injured population and examine associated injuries for patients with tibial shaft fractures. Patients over 18 years of age in the National Trauma Data Bank (NTDB) who presented with tibial shaft fractures during 2011 and 2012 were identified. Modified Charlson Comorbidity Index (CCI), mechanism of injury (MOI), injury severity score (ISS), and specific associated injuries were described. Multivariate logistic regression was used to identify predictors of mortality.

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“…The recognition of the associated ankle injury has been considered sufficiently important for proper preoperative planning and appropriate postoperative physical therapy. Recently, there has been increasing recognition and interest in the association of tibia shaft fractures and ipsilateral ankle injuries, although clinical studies have not sufficiently examined the clinical significance of this entity in adults [36,37] .…”

Section: Editorialmentioning

confidence: 99%

Concomitant Tibia Shaft and Distal Triplane Fractures

Sferopoulos¹

2018

International Journal of Radiology

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Concomitant tibia shaft fracture and triplane fracture of the distal tibia are very rare in the pediatric orthopaedic traumatology. The very limited number of cases in the world literature has all been documented in older children or adolescent patients. Appropriate diagnostic evaluation and treatment is required to minimize the incidence of delayed or missed diagnosis of the ankle injury, prevent complications and optimize outcomes of both fractures. A new case as well as an extensive review of the literature is presented in this editorial.

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Concomitant Ankle Injuries Associated With Tibial Shaft Fractures

Abstract: Level III, comparative series.

Cited by 25 publications

References 11 publications

Pre-operative radiographic findings predicting concomitant posterior malleolar fractures in tibial shaft fractures: a comparative retrospective study

Pre-operative radiographic findings predicting concomitant posterior malleolar fractures in tibial shaft fractures: a comparative retrospective study

Tibial shaft fracture: A large-scale study defining the injured population and associated injuries

Concomitant Tibia Shaft and Distal Triplane Fractures

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