Skip to main content Accessibility help
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

2 results

  • Chapter 8 - The lower extremity: femur, tibia and fibula

  • from Section 1 - Skeletal trauma
  • Edited by Peter J. Strouse, C. S. Mott Children’s Hospital, Department of Radiology, University of Michigan
  • Book:
    Kleinman's Diagnostic Imaging of Child Abuse
    Published online:
    10 April 2026
    Print publication:
    30 April 2026, pp 204-263

  • Summary

    The lower extremities are common sites of abusive skeletal injuries, with fractures often serving as the initial clue to raise suspicion of abuse, and prompt further clinical and imaging investigation. This chapter examines the fracture types, histologic characteristics and imaging findings of skeletal injuries in the femur, tibia and fibula. Notably, the classic metaphyseal lesion, a highly specific indicator of infant abuse, is prevalent in the lower extremities. Detecting these subtle injuries requires rigorous imaging and meticulous inspection of the initial skeletal survey images. The chapter also reviews advanced imaging with ultrasound, CT, MRI and scintigraphy for characterization of complex injuries.

  • Subjective morbidity following fibular free flap reconstruction in head and neck cancer patients

  • D M Sparkman, M R Simmons, Y J Patil
  • Journal:
    The Journal of Laryngology & Otology / Volume 132 / Issue 8 / August 2018
    Published online by Cambridge University Press:
    24 July 2018, pp. 729-733
    Print publication:
    August 2018
  • Objective

    This study aimed to evaluate the presence of subjective post-operative donor site morbidity after fibula free flap reconstruction in head and neck cancer patients, utilising three validated instruments: the 36-item Short Form Health Survey, the Short Musculoskeletal Function Assessment questionnaire and the Lower Limb Core Scale.

    Methods

    In this retrospective study, all head and neck cancer patients who underwent fibula free flap reconstruction between January 2009 and July 2014 were identified. All questionnaires and their respective subcomponents were scored.

    Results

    Twenty-one cases were included. Patients were found to have a higher Short Musculoskeletal Function Assessment bothersome index (22.42 vs 13.77, p = 0.03), a lower Short Form 36 Health Survey Physical Component Summary score (42.44 vs 50, p < 0.01) and a decreased Lower Limb Core Scale score (47.08 vs 90.52, p < 0.01), compared to US population norms. The Short Form 36 Health Survey Mental Component Summary scores and Short Musculoskeletal Function Assessment function index failed to demonstrate significant differences. Gender affected overall disability.

    Conclusion

    In this study, significant long-term disability was demonstrated after fibular flap reconstruction, as measured by the Lower Limb Core Scale.