Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left lower extremity pain following [mechanism of injury]. Reports localized tenderness, swelling, and inability to bear weight on the left leg. No reported numbness, tingling, or distal neurovascular deficits.
Clinical Examination Findings
Left lower extremity examination reveals localized tenderness over the fibular shaft. Significant soft tissue swelling and ecchymosis present. Distal pulses (dorsalis pedis and posterior tibial) are 2+ and symmetric. Capillary refill < 2 seconds. Sensation intact to light touch in all dermatomes. No motor deficits noted in the foot or toes.
Treatment Protocol
Diagnosis of closed left fibular shaft fracture confirmed via imaging. Treatment plan: Immobilization with [splint/boot/cast], non-weight bearing status on left lower extremity, elevation of limb above heart level, and analgesia as prescribed. Follow-up scheduled for repeat radiographs to ensure fracture stability.