Article Text

PDF
Calf muscle wasting after tibial shaft fracture
  1. M Khalid1,
  2. A Brannigan1,
  3. T Burke1
  1. 1Mid-Western Regional Orthopaedic Hospital, Limerick, Republic of Ireland
  2. 2Mid-Western Regional Hospital, Limerick
  1. Correspondence to:
 Mr Khalid
 Mid-Western Regional Orthopaedic Hospital, Limerick, Republic of Ireland; khalidbones{at}hotmail.com

Abstract

Objectives: To study the long term effect of tibial shaft fractures treated by immobilisation in a long leg cast on the calf muscle bulk.

Methods: Computed tomography scans were performed at fixed points on the lower legs of 23 non-professional athletes who sustained closed tibial fractures 16 years previously. Length of immobilisation was determined from the hospital records. All the fractures were treated non-operatively. The cross sectional area of the various leg compartments was measured and compared with the non-injured leg.

Results: There was a significant reduction in cross sectional area of the posterior compartment (p<0.001, Student’s t test). No such difference was seen in the anterolateral compartment.

Conclusion: Tibial fractures treated non-operatively are associated with significant long term calf muscle wasting.

Statistics from Altmetric.com

Footnotes

  • Competing interests: none declared

  • Approval for this study was obtained from the ethics committee of Mid-Western Regional Hospital, Limerick, Ireland

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.