![]() Ankle fractures are usually the result of indirect mechanisms, whereas the majority of pilon fractures are the result of an axial loading mechanism in which the talus is forced cranially and into the distal tibia, thus producing the “explosion” fracture of the articular surface. Most articular fractures of the distal tibial weight-bearing surface are the result of motor vehicle accidents, motorcycle accidents, falls from heights, and industrial injuries. Multiple approaches have been suggested, but there is no consensus regarding the optimal treatment for these injuries and no long-term outcome measures that define the results of either the injury or the treatment. The cause of these injuries is frequently violent, and associated injuries occur commonly. Although both extra-articular and intra-articular patterns occur with varying severity, the common concern in all of these injuries is the associated soft tissue injury. Following the protocols given to you by your provider, will help to ensure a safe and speedy recovery.Fractures of the distal tibia are among the most difficult injuries facing the orthopaedic traumatologist. ![]() Although it can be hard to slow down with a tibial stress fracture, going back to activity ‘too quickly’ can put you at risk for a larger, harder-to-heal fracture, requiring more down time or even surgery. More serious stress fractures can take longer. In most cases, it takes 6 to 8 weeks for a stress fracture to heal, when surgery is not required. To reduce stress on your leg, protective footwear or crutches may be necessary. Nonsteroidal anti-inflammatory medicines may be suggested to help relieve pain and swelling. Once a tibial stress fracture is confirmed, your provider will discuss best treatment options based on the type of stress fracture (exact location on the bone) and your activity level. It is not uncommon for other forms of imaging, including bone scans, CT scans and MRI to be ordered if your provider suspects there is a fracture present, but not visible on X-ray. ![]() In some cases, the signs of a stress fracture may not show up on an X-ray for as long as four or five weeks or may never show up. High impact sports such as running, gymnastics, and volleyball can increase the risk of stress fractures. Stress fractures are normally caused by overtraining or overuse. Other contributors may include repeated stress on the bone from pounding or impact on a hard surface, such as running on concrete. Instability of the leg and occasional loss of feeling in the foot can also be present. The pain will get progressively worse as more weight is placed on it, eventually hurting while walking or even when not putting any weight on it at all. Swelling may be present at the fracture site. Individuals suffering from a tibial stress fracture typically feel an aching or burning (localized) pain somewhere along the bone. Symptoms are very similar to ‘shin splints’ with gradual onset pain on the inside of the shin. A tibial stress fracture is a hairline fracture of the tibia bone in the lower leg caused by overuse or repetitive stress. It is the most commonly fractured long bone in the body. The tibia (shinbone) is the inner and larger of two bones between the knee and ankle.
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