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Tillaux fracture

Case contributed by Matthew Lukies
Diagnosis certain

Presentation

Fall. Tender lateral malleolus and distal tibia. Query fracture.

Patient Data

Age: 16 years
Gender: Male
x-ray
  • minimally displaced Salter-Harris type III fracture through the distal tibial epiphysis, extending laterally (Tillaux fracture)

  • minimally displaced Salter-Harris type II fracture through the distal fibular epiphysis

  • soft tissue swelling around the lateral malleolus

Case Discussion

This case demonstrates the eponymously named Tillaux fracture through the distal tibial epiphysis, typically involving the anterolateral aspect of the epiphysis as lateral growth plate fusion occurs at a later age than medial.

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