Physical Education

Fracture of the Lower Leg
There are two long bones in the lower leg, the tibia and fibula. When both are broken, the leg usually appears to be deformed. When only one is broken, the other acts as a splint and the leg retains a more natural appearance. Fractures usually result in pain, tenderness, swelling, and loss of movement. A fracture just above the ankle is often mistaken for a sprain.

In addition to the general procedures above, gently straighten the leg, apply a pneumatic (air) splint if available; if not, apply three padded splints, one on each side and underneath the leg. Place extra padding (Fig. 6-6) under the knee and just above the heel. The splint should be secured in four places: (1) just below the hip, (2) just above the knee, (3) just below the knee, and (4) just above the ankle. Do not place the straps over the area of the fracture.

A pillow and two side splints also work well. Place a pillow beside the injured leg, then gently lift the leg and place it in the middle of the pillow. Bring the edges of the pillow around to the front of the leg and pin them together. Then place one splint on each side of the leg, over the pillow, and secure them in place with a bandage or tape.