28 year old African American female presented to clinic with a painful right leg. The patient stated she went ice skating 3 days ago and that a 12 year old boy fell on her right leg. Patient stated she went to the ED and they applied an ace wrap, crutches, and instructed her to ice her leg. Radiographs were taken and this is what was seen.
What we saw was a displaced, oblique, fibular fracture located in the distal end of the diaphysis of the right fibular. The fracture was closed with a 2 degree angular deviation of the distal fragment (Weber C) .Visibly the leg was inflammed and thus a posterior splint was applied with some compression using an ace wrap. The patient was given some medication for pain control and she was scheduled for surgery in 4 days.
In surgery the fracture was open reduced, and a fibular plate (BioMet) was applied with 6 points of fixation.
Patient is currently in the healing process and will follow up in 1 week.
