Tillaux fracture

Case contributed by Dr Yair Glick

Patient Data

Age: 15 years
Gender: Male
X-ray

Tillaux fracture, i.e. Salter-Harris III fracture of anterolateral aspect of distal tibial epiphysis, minimally displaced.

CT

CT performed to rule out occult fractures, i.e. fractures other than the Tillaux fracture seen on the radiographs. None demonstrated.
The soft tissue window (not shown) reveals the anterior tibiofibular ligament attached to the epiphyseal fragment.

X-ray

Radiographs taken right after cast removal. A cannulated screw was used for internal fixation.

Case Discussion

Patient presented with "pain in right foot" after having landed hard on it during playing.
On physical examination, there was swelling at the distal tibial-fibular border; tenderness to palpation across the swelling; antalgic restriction of movement, particularly on external rotation of ankle.

Radiographs showed a minimally displaced Salter-Harris type III fracture of the distal tibia at the anterolateral aspect, also known as a Tillaux fracture.

CT did not demonstrate any additional fracture.

Closed reduction was performed, then a 4.5 mm cannulated screw was used for internal fixation.

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Case information

rID: 52425
Case created: 6th Apr 2017
Last edited: 23rd Jun 2017
Inclusion in quiz mode: Included

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