How to differentiate the proximal fibula fracture?

Update Date: 2024-11-28 Source: Network

summary

How is fibula proximal end fracture to return a responsibility? Most fractures are often associated with fractures of the upper tibia or tibial shaft. However, direct external force can fracture the fibular head or neck. The fracture line may be oblique or transverse. Displacement of the broken end is rare. How to differentiate the proximal fibula fracture? Let's talk about it

How to differentiate the proximal fibula fracture?

Chronic progressive course of disease. Different severity; Symmetrical progressive degeneration of the peripheral nerve leads to muscle weakness and atrophy of the distal limb. From the foot and lower limb, CX has varus horseshoe foot and claw foot deformities. From months to years, it affects the hand and forearm muscles, accompanied or without sensory loss; Scoliosis is common

Foot drop, cross threshold gait; The course of disease was slow and stable for a long time; Although some patients had gene mutation, they did not have muscle weakness or atrophy. Only arcuate foot or nerve conduction velocity slowed down, even without clinical symptoms;

The atrophy of the lower 1 / 3 muscles of the lower leg and thigh could be seen. It was like a "crane leg" or an inverted bottle of champagne. The atrophy of the hand muscles became claw shaped. It could affect the forearm muscles. The tendon reflex of the affected limbs decreased or disappeared; Hypoesthesia is glove and sock like, accompanied by autonomic nerve dysfunction and dystrophy. About 50% of the cases can reach the nerve and become thick;

matters needing attention

Pay attention to the safety of production and life is the key to prevent this disease, at the same time, we should also pay attention to the promotion of functional exercise for patients with this disease, but the functional exercise may lead to bone nonunion, especially in some serious cases, such as burst fracture, because we should strictly follow the doctor's advice, so that the affected limb function can recover as soon as possible.