Patient presents with complaints consistent with tibial fracture.  Onset of symptoms occurred on [Date of onset] following [Mechanism of injury - e.g., fall, twisting injury, direct blow].  Location of pain and tenderness is localized to the [Proximal, midshaft, or distal] tibia.  Patient reports [Symptoms - e.g., pain, swelling, bruising, deformity, inability to bear weight].  Physical examination reveals [Clinical findings - e.g., edema, ecchymosis, tenderness to palpation, crepitus, deformity, limited range of motion].  Neurovascular status of the affected extremity was assessed and found to be [Intact or compromised, specify findings].  Radiographic imaging of the tibia and fibula was performed, revealing a [Type of fracture - e.g., transverse, oblique, spiral, comminuted, displaced, non-displaced] fracture of the [Specify location and involvement of articular surfaces] tibia.  Diagnosis of tibial fracture confirmed.  Differential diagnosis considered included [List differential diagnoses - e.g., tibial stress fracture, soft tissue injury, fibular fracture].  Treatment plan includes [Treatment options - e.g., closed reduction, open reduction internal fixation (ORIF), casting, splinting, pain management, referral to orthopedics].  Patient was instructed on weight-bearing restrictions, pain management, and follow-up care.  Patient education provided regarding signs and symptoms of complications such as compartment syndrome, deep vein thrombosis, and infection.  Follow-up appointment scheduled for [Date of follow-up] to assess healing progress and adjust treatment plan as needed.  ICD-10 code [Appropriate ICD-10 code] assigned.