Fibula Fractures: Symptoms and When to Seek Treatment - Orthopedics

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Fibula fracture


In October 2017, I suffered an open comminuted fracture of the mid-shaft of the tibia and fibula in a car accident.
The orthopedic surgeon only performed intramedullary nailing on the tibia, while the fibula was left untreated.
Last October, I underwent surgery to remove the nail, and at that time, the X-ray showed that the fibula was still in a comminuted fracture state, with only a slight indication of healing upon magnification.
The doctor advised that it could heal on its own without intervention.
However, in the past month, I have been experiencing discomfort on the lateral side of my calf that feels like cramping when walking, but I feel normal when not walking.
Could this be related to the fibula? Should I seek further treatment for the fibula? Thank you.

Jie, 30~39 year old female. Ask Date: 2019/03/29

Dr. Shi Guozheng reply Orthopedics


The support of the lower leg primarily relies on the tibia, which accounts for over 80% of the load.
Therefore, fractures of the fibula typically do not require intervention unless they occur near the ankle joint, as this could affect joint stability.
Pain in the calf is not necessarily related to the fibula.
It is recommended to start with conservative treatment, such as taking medication or applying heat.

Reply Date: 2019/03/29

More Info


Fibula fractures can be quite complex, especially when they occur alongside tibial fractures, as in your case. The fibula, while not bearing significant weight, plays a crucial role in stabilizing the ankle and supporting the muscles of the lower leg. Understanding the symptoms associated with fibula fractures and knowing when to seek treatment is essential for proper recovery.


Symptoms of Fibula Fractures
Common symptoms of a fibula fracture include:
1. Pain: This is often localized to the outer side of the lower leg, where the fibula is located. The pain may worsen with movement or weight-bearing activities.


2. Swelling and Bruising: Swelling around the fracture site is typical, and bruising may also be present, especially if there is soft tissue injury.

3. Difficulty Walking: If the fracture is significant, you may experience difficulty walking or bearing weight on the affected leg.

4. Muscle Spasms: As you mentioned, experiencing a cramping sensation or muscle spasms in the lower leg can occur. This might be due to muscle fatigue or irritation from the injury, especially if the fibula is not healing properly.

5. Deformity: In some cases, there may be visible deformity or misalignment of the leg.


When to Seek Treatment
Given your history of a complex fibula fracture that was not surgically treated, it is crucial to monitor your symptoms closely. Here are some guidelines on when to seek medical attention:
1. Persistent or Worsening Pain: If the pain in your lower leg persists or worsens, especially during activities that were previously manageable, it is a sign that you should consult your doctor.

2. Swelling or Bruising: If you notice increased swelling or bruising, or if the area feels warm to the touch, it could indicate complications such as a hematoma or infection.

3. Changes in Mobility: If you find it increasingly difficult to walk or bear weight on the leg, this warrants a visit to your healthcare provider.

4. Muscle Spasms: Given that you are experiencing cramping sensations, it is advisable to discuss this with your doctor. Muscle spasms can be a sign of underlying issues related to the fracture or could indicate nerve involvement.

5. New Symptoms: Any new symptoms, such as numbness, tingling, or changes in skin color, should be evaluated promptly.


Conclusion
In your case, since you have a history of a fibula fracture that was not surgically addressed, and you are now experiencing discomfort that resembles muscle spasms, it would be prudent to consult your orthopedic specialist. They may recommend imaging studies, such as X-rays or an MRI, to assess the current state of the fibula and determine if there are any complications or if further treatment is necessary.

Additionally, it is important to consider that the healing process for fibula fractures can vary significantly based on factors such as age, overall health, and the nature of the fracture. If the fibula has not healed properly, it could lead to chronic pain or instability in the ankle, which may require intervention.

In summary, while some discomfort may be expected during the healing process, significant or persistent symptoms should not be ignored. Seeking timely medical advice can help ensure that any potential complications are addressed, allowing for a more effective recovery and return to normal activities.

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