Northwestern University Feinberg School of Medicine

Orthopedic Teaching

Leg/Knee Case 8 ED Management

Proximal Fibula Fracture


ED Management

Isolated proximal fibula fractures are managed conservatively. If there are other fractures, concern for ligamental or nerve injury, then operative management may be indicated. Many sources recommend initially placing in a posterior mold or a combination of posterior mold/sugar tong splint. They should be made non-weight bearing and referred to orthopedics. In practice, however, if associated injuries have been ruled out, many orthopedists will use a knee immobilizer or bulky dressing, allowing weight bearing as tolerated.