Abstract
The case of a 36-year-old pedestrian hit by a motorcycle and suffering a fibular fracture is presented. Complete clinical and radiographic evaluation showed that the fibula was involved in four different anatomical sites without involvement of the tibial diaphysis. Careful evaluation of the injured person demonstrated accompanied lesions at other sites as a result of multiple mechanisms involved. Review of the literature revealed that fractures of the fibula are not rare injuries and are usually due to a direct force applied to this bone. Fractures in more than two different anatomical sites are quite uncommon, making this case of four fractures without involvement of the tibial diaphysis a unique case as far as we know. We concluded that a multiplicity of levels in the fibular fracture should alert the surgeon to search for accompanying traumatic lesions of the neighboring joints that, if left untreated, could lead to a less than satisfactory result.
Résumé
Le cas d’un patient âgé de 36 ans, piéton renversé par une moto et souffrant d’une fracture de son péroné (fibula) gauche, est présenté. Une étude clinique et radiologique complète montra que l’os était cassé à quatre niveaux sans implication du tibia. Des lésions d’accompagnement existaient chez ce patient dans d’autres localisations. Une revue de la littérature a montré que les lésions du péroné ne sont pas rares et sont en général provoquées par un choc direct sur l’os. Une fracture à quatre niveaux est une lésion rare et doit conduire le chirurgien à rechercher des lésions associées.
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References
Elmendorff H, Petes D (1971) Late results of fractures of the ankle. Acta Otrhop Grfall Chir 69:220
Johner R, Staubli HU, Gunst M, Cordey J (2000) The point of view of the clinician: a prospective study of the mechanism of accidents and the morphology of tibial and fibular shaft fractures. Injury 33 S-C45–49
Meyers MH, McKeever FM (1970) Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg [Am] 52:1677
Muller ME, Nazarian S, Koch P (1988) Classification AO des fractures des os longs. Springer, Berlin, Heidelberg, New York
Yablon IG, Heller FG, Shouse L (1977) The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg [Am] 59:169
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Ioannidis, T., Karamitros, A., Gadaifis, N. et al. A unique case of a four-level fracture of the fibula. Eur J Orthop Surg Traumatol 14, 47–49 (2004). https://doi.org/10.1007/s00590-003-0126-x
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DOI: https://doi.org/10.1007/s00590-003-0126-x