Trimalleolar fracture
Last revised by Craig Hacking on 6 Jun 2024
Citation, DOI, disclosures and article data
Citation:
Bickle I, Hacking C, Murphy A, et al. Trimalleolar fracture. Reference article, Radiopaedia.org (Accessed on 13 Jun 2024) https://doi.org/10.53347/rID-27657
rID:
27657
Article created:
12 Feb 2014,
Ian Bickle ◉
Disclosures:
At the time the article was created Ian Bickle had no recorded disclosures.
View Ian Bickle's current disclosures
Last revised:
6 Jun 2024,
Craig Hacking ◉
Disclosures:
At the time the article was last revised Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Craig Hacking's current disclosures
Revisions:
16 times, by
12 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- Trimalleolar ankle fracture
- Trimalleolar ankle fractures
- Trimalleolar fractures
Trimalleolar fractures refer to a three-part ankle fracture. The fractures involve the medial malleolus, the posterior aspect of the tibial plafond (referred to as the posterior malleolus) and the lateral malleolus. Having three parts, it is an unstable fracture and may be associated with ligamentous injury.
Differential diagnosis
Practical points
measuring the size of the fracture fragment as a percentage of the total articular surface on the lateral radiograph or sagittal CT is useful as this is one of the indications for internal fixation (although operative threshold is variable) 2,3
articular steps >1 mm are also an indication for internal fixation 2
References
- 1. Mainwaring BL, Daffner RH, Riemer BL. Pylon fractures of the ankle: a distinct clinical and radiologic entity. Radiology. 1988;168 (1): 215-8. doi:10.1148/radiology.168.1.3380962 - Pubmed citation
- 2. Conor Kleweno, Edward K. Rodriguez. Trimalleolar Ankle Fractures. (2018) Orthopedic Traumatology. doi:10.1007/978-3-319-73392-0_25 - Pubmed
- 3. Xing W, Xing WY, Xing SL, Xing WL, Xing KZ, Xing ZC, Xing ZZ, Xing. Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis. (2018) Medicine. doi:10.1097/MD.0000000000012079 - Pubmed
Incoming Links
Cases:
- Trimalleolar fracture
- Trimalleolar ankle fracture-dislocation
- Trimalleolar ankle fracture
- Trimalleolar ankle fracture
- Trimalleolar ankle fracture
- Trimalleolar fracture
- Trimalleolar fracture
- Trimalleolar fracture
- Trimalleolar fracture
- Trimalleolar fracture
- Trimalleolar ankle fracture with syndesmotic injury
- Trimalleolar fracture
- Trimalleolar equivalent fracture
- Trimalleolar ankle fracture
- Ankle trimalleolar fracture - Weber C and posterior malleolus fractures with deltoid ligament injury
- Trimalleolar ankle fracture with internal fixation
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carpal bones
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hip
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femoral neck fracture
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trochanteric fracture
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