Triplane fracture

Case contributed by Dr Jeremy Jones

Presentation

Slipped on ice. Ankle injury and with pain. Unable to weightbear.

Patient Data

Age: 13 years
Gender: Male
X-ray

Complex distal metaphyseal fracture with at least two components. There is a displaced oblique fracture extending to the metaphysis with widening of the physis on the lateral view. On the frontal radiograph, this is seen extending obliquely towards the syndesmosis (which appears intact). Associated distal fibular fracture.

X-ray

In cast. Stable position of distal tibial and fibular fractures. No proximal fibular fracture.

CT

Triplane fracture of the distal tibia with minor widening of the physis anteriorly and laterally. Associated non-displaced distal fibular diaphyseal fracture.

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Case information

rID: 70719
Published: 2nd Sep 2019
Last edited: 6th Sep 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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