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Table 3 Characteristics of PMFs associated with the distal third TSFs included in the systematic review

From: Incidence and missed diagnosis risk of occult posterior malleolar fractures associated with the tibial shaft fractures: a systematic review

Author, year

Study design

Tibial fractures, N

Associated with PMF, N (%)

Detection method

Men, %

Mean age

Energy of injury

Rate of missed diagnosis of PMF (X-ray)

Geographic location of study

Surgical intervention

Distal third TSFs (include spiral type)

 van der Werken et al. [25] (1988)

R

148

17 (11.5%)

X-ray

58.8%

37 (27–51)

LE

47.1%

Netherlands

Surgical fixation only when displaced

 Boraiah et al. [13] (2008)

R

39

13 (33.3%)

X-ray

NR

NR

NR

15.4%

USA

Surgical fixation when recognized

P

23

11 (47.8%)

X-ray+CT

NR

Surgical fixation when recognized

 Purnell et al. [3] (2011)

R

67

23 (34.3%)

X-ray. + CT

73.90%

48 (18–68)

70%LE

34.8%

USA

56.5% underwent surgical fixation

 Boutin et al. [26] (2017)

R

217

42 (19.4)

X-ray+CT

NR

NR

NR

62%

USA

NR

 Hendrickx et al. [8] (2019)

R

106

34 (32.1%)

X-ray+CT

NR

NR

NR

NR

Australia

NR

Distal third TSFs (except spiral type)

 Sobol et al. [7] (2018)

R

167

6 (3.6%)

X-ray

NR

NR

NR

NR

USA

NR

  1. Abbreviations: TSF, tibial shaft fractures; PMF, posterior malleolus fracture; R, retrospective; P, prospective; N, numbers; NR, not reported; LE, low energy