Tillaux fracture - Revision history

Rossdonaldson1 at 05:02, 18 September 2019

2019-09-18T05:02:41Z

← Older revision		Revision as of 05:02, 18 September 2019
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	===Specific Management===		===Specific Management===
	*Ortho consult		*Ortho consult

			==Disposition==
			*Most will require surgical reduction
			*Admit

			===Specialty Care===
	*Nonoperative		*Nonoperative
	**closed reduction, long leg cast x 4wks, short leg cast x 2-3wks		**closed reduction, long leg cast x 4wks, short leg cast x 2-3wks
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	**Open reduction and internal fixation ('''OR'''IF)		**Open reduction and internal fixation ('''OR'''IF)
	**indicated if >2mm of displacement after reduction attempt		**indicated if >2mm of displacement after reduction attempt

	~~==Disposition==~~
	*Most will require surgical reduction
	*Admit

	==See Also==		==See Also==

Rossdonaldson1: /* Management */

2019-09-18T05:02:01Z

Management

← Older revision		Revision as of 05:02, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	*Ortho consult		*Ortho consult
	*Nonoperative		*Nonoperative

Modanq: split categories

2018-04-06T01:32:45Z

split categories

← Older revision		Revision as of 01:32, 6 April 2018
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	<references/>		<references/>

	[[Category: Orthopedics, Pediatrics]]		[[Category: Orthopedics]]
			[[Category: Pediatrics]]

Mholtz: Text replacement - "fx" to "fracture"

2017-08-20T21:59:36Z

Text replacement - "fx" to "fracture"

← Older revision		Revision as of 21:59, 20 August 2017
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	==Evaluation==		==Evaluation==
	*XR		*XR
	**Salter-Harris III fx of anterolateral distal tibia epiphysis		**Salter-Harris III fracture of anterolateral distal tibia epiphysis
	*CT scan		*CT scan
	**further delineates fracture pattern and degree of displacement		**further delineates fracture pattern and degree of displacement

Mholtz: Text replacement - "OR" to "'''OR'''"

2017-05-30T22:28:28Z

Text replacement - "OR" to "'''OR'''"

← Older revision		Revision as of 22:28, 30 May 2017
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	==Clinical Features==		==Clinical Features==
	*Typically due to external rotation force		*Typically due to external rotation force
	**forced lateral rotation of foot OR medial rotation of leg on a fixed foot		**forced lateral rotation of foot '''OR''' medial rotation of leg on a fixed foot
	*Often associated with external rotation deformity of the ankle/foot		*Often associated with external rotation deformity of the ankle/foot

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	**indicated only if <2mm of displacement after closed reduction (rare)		**indicated only if <2mm of displacement after closed reduction (rare)
	*Operative		*Operative
	**Open reduction and internal fixation (~~ORIF~~)		**Open reduction and internal fixation ('''OR'''IF)
	**indicated if >2mm of displacement after reduction attempt		**indicated if >2mm of displacement after reduction attempt

Rossdonaldson1: /* Differential Diagnosis */

2016-09-27T18:28:11Z

Differential Diagnosis

← Older revision		Revision as of 18:28, 27 September 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~'''Distal Leg Fractures'''~~
	*[[Tibial shaft fracture]]
	*[[Pilon fracture]]
	*[[Maisonneuve fracture]]
	*[[Tibia fracture (peds)]]
	*[[Ankle fracture]]
	**[[Ankle fracture (peds)]]
	*[[Foot and toe fractures]]
	*Triplane fracture

	~~'''Ankle Injuries'''~~
	*[[Ankle sprain]]
	*[[Ankle dislocation]]

	{{Distal leg fractures DDX}}		{{Distal leg fractures DDX}}

Rossdonaldson1: /* Differential Diagnosis */

2016-09-27T18:26:41Z

Differential Diagnosis

← Older revision		Revision as of 18:26, 27 September 2016
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	*[[Ankle sprain]]		*[[Ankle sprain]]
	*[[Ankle dislocation]]		*[[Ankle dislocation]]

			{{Distal leg fractures DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: Rossdonaldson1 moved page Tillaux Fracture to Tillaux fracture

2016-09-27T18:23:44Z

Rossdonaldson1 moved page Tillaux Fracture to Tillaux fracture

← Older revision	Revision as of 18:23, 27 September 2016
(No difference)

Kaoru: Created page with "==Background== *Salter-Harris type III fracture of the anterolateral portion of the distal tibia **caused by an avulsion of anterior inferior tibiofibular ligament *Occurs typ..."

2016-09-26T19:25:34Z

Created page with "==Background== *Salter-Harris type III fracture of the anterolateral portion of the distal tibia **caused by an avulsion of anterior inferior tibiofibular ligament *Occurs typ..."

New page

==Background==
*Salter-Harris type III fracture of the anterolateral portion of the distal tibia
**caused by an avulsion of anterior inferior tibiofibular ligament
*Occurs typically in adolescents, age 12-14
**occurs in children nearing skeletal maturity, as anterolateral portion most vulnerable at this age

==Clinical Features==
*Typically due to external rotation force
**forced lateral rotation of foot OR medial rotation of leg on a fixed foot
*Often associated with external rotation deformity of the ankle/foot

==Differential Diagnosis==
'''Distal Leg Fractures'''
*[[Tibial shaft fracture]]
*[[Pilon fracture]]
*[[Maisonneuve fracture]]
*[[Tibia fracture (peds)]]
*[[Ankle fracture]]
**[[Ankle fracture (peds)]]
*[[Foot and toe fractures]]
*Triplane fracture

'''Ankle Injuries'''
*[[Ankle sprain]]
*[[Ankle dislocation]]

==Evaluation==
*XR
**Salter-Harris III fx of anterolateral distal tibia epiphysis
*CT scan
**further delineates fracture pattern and degree of displacement

==Management==
*Ortho consult
*Nonoperative
**closed reduction, long leg cast x 4wks, short leg cast x 2-3wks
**indicated only if <2mm of displacement after closed reduction (rare)
*Operative
**Open reduction and internal fixation (ORIF)
**indicated if >2mm of displacement after reduction attempt

==Disposition==
*Most will require surgical reduction
*Admit

==See Also==
*[[Salter-Harris fractures]]

==External Links==

==References==
*Tintinalli 7th Edition, pg 905
*http://radiopaedia.org/articles/tillaux-fracture
*http://orthobullets.com/pediatrics/4028/tillaux-fractures
<references/>

[[Category: Orthopedics, Pediatrics]]