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Pilon fracture

Case contributed by Dr Alexandra Stanislavsky

Presentation

The patient arrived by ambulance following a motor vehicle accident.

Patient Data

Age: 30 years
Gender: Male
X-ray

There is a comminuted distal tibial fracture extending into the tibial plafond, representing a Pilon fracture. There are also associated fractures of the talar dome and tip of the lateral malleolus.  

CT

There is a comminuted distal tibial fracture extending into the tibial plafond, representing a Pilon fracture. There are also associated fractures of the talar dome and tip of the lateral malleolus.  

Case Discussion

There is a comminuted distal tibial fracture extending into the tibial plafond, representing a Pilon fracture. There are also associated fractures of the talar dome and tip of the lateral malleolus.  

Features of impaction are consistent with an axial loading mechanism, which is typically associated with this type of injury.   

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Case information

rID: 10843
Published: 27th Sep 2010
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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