Clinical symptoms are localised pain, swelling and a more significant deformity showing angular and overlapping displacement.
In severe cases, this can cause damage to the tibial and common peroneal nerves in the lower leg, causing restriction of movement and sensory function in the lower leg and foot, and attention needs to be paid to the risk of severe closed tibiofibular fractures of the upper mid calf and the development of calf fascial gap syndrome.
Diagnosis.
The superficial location of the tibiofibula is usually not difficult to diagnose, and the displaced broken end of the bone can often be felt locally in a painful, swollen area, and the diagnosis can be confirmed with a calf x-ray at the hospital emergency department.
The diagnosis should be made with attention to the fracture combined with injury to the anterior and posterior tibial arteries and common peroneal nerve.
Check for pulsation of the dorsalis pedis artery, foot sensation, and flexion and extension of the ankle and bunion.
For more severe crush injuries, open fractures and patients who have had tourniquets and tight bandages for a long time, pay particular attention to the progressive swelling of the injured limb, especially in muscle-rich areas. Surgical incision and decompression is required.