Spiral Fracture of distal tibia (best seen on internal oblique view)
May be occult Fracture (normal initial xray in 40% of cases)
Repeat XRay in 7-10 days
Posterior long leg splint for 5-7 days, THEN
Long leg cast
Some recommend below knee walking cast for 3 weeks
(2018) Crit Dec Emerg Med 37(5): 3-14
Latessa (2012) AAFP Board Review Express, San Jose
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