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Br J Sports Med. 2006 Jun;40(6):552-3.

Calf muscle wasting after tibial shaft fracture.

Author information

1
Mid-Western Regional Orthopaedic Hospital, Limerick, Republic of Ireland. khalidbones@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.

PMID:
16720890
PMCID:
PMC2465116
DOI:
10.1136/bjsm.2005.020743
[Indexed for MEDLINE]
Free PMC Article

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