Fractures of the Distal Tibial Metaphysis



- Green Stick Fractures:
     - anterior cortex becomes impacted, & posterior cortex is frx w/ torn periosteum;
     - there is a visible recurvatum deformity;
     - Treatment:
           - reduction w/ general anesthesia because considerable force is required to stretch the anterior cortex;
           - then a long leg cast is applied with the foot in plantar flexion for 3 to 4 wks then short leg cast



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, August 7, 2012 3:17 pm