The term Tillaux fracture is an eponym describing a fracture of the anterolateral tibial epiphysis that is commonly seen in adolescents. The fragment is avulsed due to the strong anterior tibiofibular ligament in an external rotation injury of the foot in relation to the leg.
How to fix Tillaux fracture?
The amount of displacement drives the proper treatment of a Tillaux fracture. Regardless of which treatment option is adopted, an anatomic reduction is the main target. Ideally, with little displacement as < 2 mm, the fracture can be managed non-operatively with closed reduction and immobilization in a cast.
What is a triplane fracture?
Triplane fractures are those occurring in 3 separate planes at the end of an immature long bone. Typically, they cross the epiphysis, physis and metaphysis, in the sagittal, transverse and coronal planes, respectively. By its nature, it is an intra-articular injury.
What is a Chaput fragment?
Abstract. Chaput tubercle fracture occurs at the antero-lateral position of the distal tibia in adult as a counterpart of adolescent Tillaux fracture. It is a case of adult male which presented to us with onset of acute pain, swelling and restricted movements of ankle after a road side accident.What is osseous avulsion?
An avulsion fracture is an injury to the bone in a location where a tendon or ligament attaches to the bone. When an avulsion fracture occurs, the tendon or ligament pulls off a piece of the bone.
Where is the anterior inferior tibiofibular ligament?
The anterior inferior tibiofibular ligament is a flat, strong ligament (Figure 1). It originates from the longitudinal tubercle on the anterior aspect of the lateral malleolus, and the fibers course superiorly and medially, attaching on the anterolateral tubercle of the tibia.
What are the types of ankle fractures?
- Fibula Only Fracture (lateral malleolus fracture) The base of the fibula (the lateral malleolus) forms the bony lump on the outside of your ankle. …
- Bimalleolar Ankle Fracture. …
- Trimalleolar Fractures. …
- Tibia Only Fracture (pilon fracture) …
- Maisonneuve Fracture.
What is a plafond fracture?
A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Most of the time, it includes breaks in both the tibia and fibula of the lower leg. The lower ends of these bones make up part of the ankle. The term “pilon” comes from the French word for pestle.What is Bosworth fracture?
The Bosworth fracture is a rare fracture dislocation of the ankle caused by extreme external rotation of a supinated foot. The proximal part of the fibular oblique fracture becomes dislocated and trapped behind the posterolateral ridge of the lateral tibial tubercle.
What is a Volkmann fragment?Internal rotation of the foot relative to the leg (PER-Lauge-Hanson) tightens the posterior inferior tibiofibular ligament (PITFL) and may result in an avulsion fracture at the tibial attachment of PITFL [4], which presents as a Volkmann fragment (Figure 1).
Article first time published onHow do you fix a triplane fracture?
Open reduction and internal fixation (ORIF) is performed for a triplane fracture demonstrating 2 mm or more of displacement after attempted closed reduction. The surgical approach depends on the fracture planes and can be anterolateral for lateral fractures or anteromedial for medial fractures.
What does the word triplane mean?
Definition of triplane : an airplane with three main supporting surfaces superposed.
What is distal tibia fracture?
They are also called tibial plafond fractures. One of the common types in children is the distal tibial metaphyseal fracture. This is a fracture in the metaphysis, the part of tibia before it reaches its widest point. These fractures are usually transverse (across) or oblique (slanted) breaks in the bone.
Why do avulsion fractures happen?
An avulsion fracture occurs when an injury causes a ligament or tendon to break off (avulse) a small piece of a bone that’s attached to it. The ligament or tendon also may be damaged. This type of injury can happen in the hip, ankle, knee, heel, elbow, or pelvis.
How bad is an avulsion fracture?
Most avulsion fractures aren’t medical emergencies, but they are still a serious medical condition. See a healthcare provider if you have pain, swelling, numbness, or difficulty moving a limb. If you don’t get medical attention, your broken bone might take longer to heal or it might not heal in the right way.
Is an avulsion fracture a break?
avulsion fracture, a fracture in which a small part of the bone gets pulled off. stress fracture, a hairline fracture due to repetitive injury. shaft fracture, a break that often affects the middle of the leg due to direct impact.
Can you walk on an ankle fracture?
Broken ankle — can you still walk? Typically, a minor ankle fracture won’t prevent you from walking. You might even be able to walk right after the injury. If you have a serious break, you’ll need to avoid walking for a few months.
Is it possible to walk on a broken ankle?
Many people assume that if you can put weight on the ankle then it isn’t broken, however, it is possible to walk on a broken ankle, particularly with a less severe fracture. If you’re concerned your ankle may be broken, we recommend contacting your doctor, who can conduct an examination or order and xray if necessary.
How long should you stay off a fractured ankle?
It takes around six to 10 weeks to recover from a broken ankle. During this time, you will probably need to wear a cast or boot. Most people are able to walk normally again and resume their daily activities by around three months.
What are the 3 bones that make up the ankle?
- The shin bone (tibia)
- The thinner bone running next to the shin bone (fibula)
- A foot bone that sits above the heel bone (talus)
What is the inferior tibiofibular ligament?
The anterior-inferior tibiofibular ligament originates from the longitudinal tubercle on the anterior surface of the lateral malleolus and attaches on the anterolateral tubercle of the tibia (Chaput fragment). … It functions alongside the anterior-inferior tibiofibular ligament to hold the tibia and fibula together.
What kind of joint is the anterior tibiofibular ligament?
TypeSynovial hinge joint; uniaxialLigamentsAnterior talofibular, posterior talofibular, calcaneofibular, deltoid (tibiocalcaneal, tibionavicular, tibiotalar parts), fibular collateral ligamentsInnervationDeep fibular (peroneal), tibial and sural nerves
What is the Quigley maneuver?
This maneuver requires two people, sometimes three. It can be modified, but the same principles apply: knee flexion, which relaxes the gastrocnemius-soleus complex, external rotation of the lower leg, and simultaneous foot adduction and supination.
What is a Bimalleolar equivalent fracture?
A “bimalleolar equivalent” fracture means that in addition to one of the malleoli being fractured, the ligaments on the inside (medial) side of the ankle are injured. Usually, this means that the fibula is broken along with injury to the medial ligaments, making the ankle unstable.
What is a Maisonneuve fracture?
Maisonneuve fractures are a result of external rotation of a planted foot, most often with pronation of the foot. This extreme force places significant strain on the bones and ligaments that make up the ankle joint and often results in instability.
What's the tibial plafond?
Tibial plafond (“pilon”) fractures involve the distal articular surface of the tibia and extend to the metaphysis. Plafond (French for “ceiling”) refers to the horizontal distal tibial articular surface.
What is the meaning of plafond in English?
Definition of plafond 1 : a ceiling usually of elaborate design formed by the underside of a floor. 2 : a French variant of auction bridge that is similar to contract bridge.
Where is the tibia plafond?
Tibial plafond fractures occur just above the ankle joint and involve that critical cartilage surface of the ankle. The other major factor that must be considered with these injuries is the soft-tissue around the ankle region.
What is Volkmann triangle?
Volkmann triangle (1875) [*Earle-Volkmann triangle] – the avulsed posterior edge of the distal tibia (posterolateral tibial lip), in cases of traumatic fracture-dislocation of the ankle.
How bad is a pilon fracture?
Pilon fractures are very painful and debilitating injuries. Symptoms include pain and inability to bear weight on the leg. They often result in an obvious deformity of the ankle joint. Swelling occurs quickly and can be followed by bruising.
How long does it take to recover from a pilon fracture?
Most pilon fractures require surgery. It usually takes three to six months after surgery for the fracture to heal completely. However, it often takes individuals a year or more to fully recover from the injury.
