Authors of section


Cassio Ferrigno

Executive Editor

Amy Kapatkin

General Editor

Noel Moens

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42-C1 Complex diaphyseal fracture with reducible wedges

42-C1 fractures

42-C1 are complex diaphyseal fractures with reconstructible wedges.

The main feature differentiating C1 from C3 fractures is the fact that the wedges are reconstructible in C1 fractures and non-reconstructible in C3.



42-C fractures are generally caused by high energy trauma, often road traffic accidents or gunshot wounds.

Clinical signs

  • Swelling of the region
  • Abnormal movement in the tibia shaft
  • Pain
  • Non weight bearing on the limb
  • Soft tissue damage


Craniocaudal and lateral radiographic views are needed.