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Paediatrics
intermediate
X-Type

Tillaux Fracture

Adolescent Ankle Fractures

A 14-year-old girl presents after an external rotation injury to her ankle during basketball. She has anterolateral ankle pain and swelling. Radiographs show a Salter-Harris III fracture of the anterolateral distal tibial epiphysis with 3mm of articular displacement. CT scan confirms the fragment involves approximately 30% of the articular surface with the fibula intact. Regarding Tillaux fractures:

Mark each as TRUE or FALSE

A

Tillaux fracture is a Salter-Harris III fracture of the anterolateral distal tibial epiphysis; it oc...

B

The mechanism is external rotation of the foot on the fixed tibia; the anterior inferior tibiofibula...

C

Tillaux fracture is a Salter-Harris II fracture; it occurs in children aged 5-8 years; the physis cl...

D

Radiographic findings include a vertical fracture line through the anterolateral epiphysis on the AP...

E

Treatment: less than 2mm displacement can be treated with closed reduction (internal rotation maneuv...

Answer the questions to see explanations

Click T (True) or F (False) for each option