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Pediatrics
Diagnosis
Musculoskeletal
Trauma: Lower Extremity
Juvenile Tillaux Fracture
Juvenile Tillaux Fracture
Emily S. Orscheln, MD; A. Carlson Merrow, Jr., MD, FAAP
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KEY FACTS

  • Imaging

    • Clinical Issues

      • Diagnostic Checklist

        TERMINOLOGY

        • Synonyms

          • Tillaux fracture

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              Selected References

                              1. Ali Al-Ashhab ME et al: Treatment for displaced Tillaux fractures in adolescent age group. Foot Ankle Surg. 26(3):295-8, 2020
                              2. Lurie B et al: Functional outcomes of Tillaux and triplane fractures with 2 to 5 millimeters of intra-articular gap. J Bone Joint Surg Am. 102(8):679-86, 2020
                              3. Nenopoulos A et al: The role of CT in diagnosis and treatment of distal tibial fractures with intra-articular involvement in children. Injury. 46(11):2177-80, 2015
                              4. Wuerz TH et al: Pediatric physeal ankle fracture. J Am Acad Orthop Surg. 21(4):234-44, 2013
                              5. Crawford AH: Triplane and Tillaux fractures: is a 2 mm residual gap acceptable? J Pediatr Orthop. 32 Suppl 1:S69-73, 2012
                              6. Liporace FA et al: Does adding computed tomography change the diagnosis and treatment of Tillaux and triplane pediatric ankle fractures? Orthopedics. 35(2):e208-12, 2012
                              7. Rosenbaum AJ et al: Review of distal tibial epiphyseal transitional fractures. Orthopedics. 35(12):1046-9, 2012
                              8. Gourineni P et al: Medial joint space widening of the ankle in displaced Tillaux and triplane fractures in children. J Orthop Trauma. 25(10):608-11, 2011
                              9. Ayyagari S et al: Radiologic case study. Diagnosis: juvenile tillaux fracture. Orthopedics. 33(3):134, 2010
                              10. Kim JR et al: Treatment outcomes of triplane and Tillaux fractures of the ankle in adolescence. Clin Orthop Surg. 2(1):34-8, 2010
                              11. Tanaka M et al: Juvenile Tillaux fracture with disrupted anteroinferior tibiofibular ligament: a case report. Knee Surg Sports Traumatol Arthrosc. 17(10):1239-42, 2009
                              12. Jennings MM et al: Arthroscopic assisted fixation of juvenile intra-articular epiphyseal ankle fractures. J Foot Ankle Surg. 46(5):376-86, 2007
                              13. Kaya A et al: Open reduction and internal fixation in displaced juvenile Tillaux fractures. Injury. 38(2):201-5, 2007
                              14. Thaunat M et al: Arthroscopic treatment of a juvenile tillaux fracture. Knee Surg Sports Traumatol Arthrosc. 15(3):286-8, 2007
                              15. Horn BD et al: Radiologic evaluation of juvenile tillaux fractures of the distal tibia. J Pediatr Orthop. 21(2):162-4, 2001
                              16. Koury SI et al: Recognition and management of Tillaux fractures in adolescents. Pediatr Emerg Care. 15(1):37-9, 1999
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Imaging

                                • Clinical Issues

                                  • Diagnostic Checklist

                                    TERMINOLOGY

                                    • Synonyms

                                      • Tillaux fracture

                                    IMAGING

                                    • General Features

                                      • Radiographic Findings

                                        • CT Findings

                                          • MR Findings

                                            • Imaging Recommendations

                                              PATHOLOGY

                                              • General Features

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Demographics

                                                    • Natural History & Prognosis

                                                      • Treatment

                                                        DIAGNOSTIC CHECKLIST

                                                        • Consider

                                                          Selected References

                                                          1. Ali Al-Ashhab ME et al: Treatment for displaced Tillaux fractures in adolescent age group. Foot Ankle Surg. 26(3):295-8, 2020
                                                          2. Lurie B et al: Functional outcomes of Tillaux and triplane fractures with 2 to 5 millimeters of intra-articular gap. J Bone Joint Surg Am. 102(8):679-86, 2020
                                                          3. Nenopoulos A et al: The role of CT in diagnosis and treatment of distal tibial fractures with intra-articular involvement in children. Injury. 46(11):2177-80, 2015
                                                          4. Wuerz TH et al: Pediatric physeal ankle fracture. J Am Acad Orthop Surg. 21(4):234-44, 2013
                                                          5. Crawford AH: Triplane and Tillaux fractures: is a 2 mm residual gap acceptable? J Pediatr Orthop. 32 Suppl 1:S69-73, 2012
                                                          6. Liporace FA et al: Does adding computed tomography change the diagnosis and treatment of Tillaux and triplane pediatric ankle fractures? Orthopedics. 35(2):e208-12, 2012
                                                          7. Rosenbaum AJ et al: Review of distal tibial epiphyseal transitional fractures. Orthopedics. 35(12):1046-9, 2012
                                                          8. Gourineni P et al: Medial joint space widening of the ankle in displaced Tillaux and triplane fractures in children. J Orthop Trauma. 25(10):608-11, 2011
                                                          9. Ayyagari S et al: Radiologic case study. Diagnosis: juvenile tillaux fracture. Orthopedics. 33(3):134, 2010
                                                          10. Kim JR et al: Treatment outcomes of triplane and Tillaux fractures of the ankle in adolescence. Clin Orthop Surg. 2(1):34-8, 2010
                                                          11. Tanaka M et al: Juvenile Tillaux fracture with disrupted anteroinferior tibiofibular ligament: a case report. Knee Surg Sports Traumatol Arthrosc. 17(10):1239-42, 2009
                                                          12. Jennings MM et al: Arthroscopic assisted fixation of juvenile intra-articular epiphyseal ankle fractures. J Foot Ankle Surg. 46(5):376-86, 2007
                                                          13. Kaya A et al: Open reduction and internal fixation in displaced juvenile Tillaux fractures. Injury. 38(2):201-5, 2007
                                                          14. Thaunat M et al: Arthroscopic treatment of a juvenile tillaux fracture. Knee Surg Sports Traumatol Arthrosc. 15(3):286-8, 2007
                                                          15. Horn BD et al: Radiologic evaluation of juvenile tillaux fractures of the distal tibia. J Pediatr Orthop. 21(2):162-4, 2001
                                                          16. Koury SI et al: Recognition and management of Tillaux fractures in adolescents. Pediatr Emerg Care. 15(1):37-9, 1999