Pilon fractures - bilateral

Case contributed by Dr Matt Skalski

Patient Data

Age: 24
Gender: Male
X-ray

Bilateral, comminuted, minimally displaced tibia fractures involving the tibial plafond. 

CT

Severely comminuted tibial plafond fractures that extend into the metadiaphyseal regions which are bilateral and nearly symmetric. On the right, there is approximately 3mm of articular offest anteriorly, but otherwise the articular fragments are minimally displaced. There is 1mm medial offset of the medial malleolar fracture fragment on the left and 2mm on the right.  There are several small sub-millimeter intraarticular fragments bilaterally. 

Case Discussion

Fractures of the distal tiba involving the tibial plafond are known as Pilon fractures, and occur as a result of impact of the talar dome durring acute axial loading. In this case, the fractures are interestingly bilateral and nearly symmetric.

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Case information

rID: 26987
Case created: 17th Jan 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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