CT scan

Distal Tibial Fractures

Definition

Metaphyseal

Extra-articular

Intra-articular Extension

Issues

Complex / high energy injuries

Management of soft tissues critical

- restore length with external fixation

- await for swelling to reduce

Restoration of alignment & joint surface imperative

Outcome guarded

Definition

Benign, bone-forming neoplasm

- characterized by a small nidus of neoplastic tissue

- surrounded by a wide zone of mature, reactive bone

Epidemiology

10% of benign bone tumours

Age 5-25

M:F 2:1

Aetiology

Unknown

- thought may be glomus tumour of bone

Pain secondary to prostaglandin production

Types

1.  Dorsal lip fracture / Tuberosity fracture

- avulsion fractures

- most common

- beware avulsion T post

2.  Body fracture

3.  Stress Fractures

Body Fractures

Types

A.  Transverse fracture in coronal plane

B.  Transverse from dorsolateral to plantarmedial

C.  Central or lateral comminution

Definitions

Cervical spondylosis

- chronic disc degeneration & associated facet arthropathy

Cervical myelopathy

- spinal cord dysfunction

- secondary to extrinsic compression of cord or its vascular supply

Cervical radiculopathy

- sclerotomal distribution of motor &/or sensory symptoms or signs

- due to compression of nerve root