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Musculoskeletal
Diagnosis
Trauma
Ankle and Foot
Osseous Injuries
Pilon Fracture
Pilon Fracture
Julia R. Crim, MD
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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Tibial plafond: Horizontally oriented, weight-bearing articular surface of distal tibia
Pilon fracture: Axial load injury involving tibial plafond
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Eastman JG et al: Entrapped posteromedial structures in pilon fractures. J Orthop Trauma. 28(9):528-33, 2014
Cole PA et al: The pilon map: fracture lines and comminution zones in OTA/AO type 43C3 pilon fractures. J Orthop Trauma. 27(7):e152-6, 2013
Crim J et al: CT assessment of the prevalence of retinacular injuries associated with hindfoot fractures. Skeletal Radiol. 42(4):487-92, 2013
Klammer G et al: Posterior pilon fractures: a retrospective case series and proposed classification system. Foot Ankle Int. 34(2):189-99, 2013
Tarkin IS et al: An update on the management of high-energy pilon fractures. Injury. 39(2):142-54, 2008
Chen SH et al: Long-term results of pilon fractures. Arch Orthop Trauma Surg. 127(1):55-60, 2007
Topliss CJ et al: Anatomy of pilon fractures of the distal tibia. J Bone Joint Surg Br. 87(5):692-7, 2005
Tornetta P 3rd et al: Axial computed tomography of pilon fractures. Clin Orthop Relat Res. (323):273-6, 1996
Ruwe PA et al: Pilon fractures of the distal tibia. Orthop Rev. 22(9):987-96, 1993
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Tibial plafond: Horizontally oriented, weight-bearing articular surface of distal tibia
Pilon fracture: Axial load injury involving tibial plafond
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Eastman JG et al: Entrapped posteromedial structures in pilon fractures. J Orthop Trauma. 28(9):528-33, 2014
Cole PA et al: The pilon map: fracture lines and comminution zones in OTA/AO type 43C3 pilon fractures. J Orthop Trauma. 27(7):e152-6, 2013
Crim J et al: CT assessment of the prevalence of retinacular injuries associated with hindfoot fractures. Skeletal Radiol. 42(4):487-92, 2013
Klammer G et al: Posterior pilon fractures: a retrospective case series and proposed classification system. Foot Ankle Int. 34(2):189-99, 2013
Tarkin IS et al: An update on the management of high-energy pilon fractures. Injury. 39(2):142-54, 2008
Chen SH et al: Long-term results of pilon fractures. Arch Orthop Trauma Surg. 127(1):55-60, 2007
Topliss CJ et al: Anatomy of pilon fractures of the distal tibia. J Bone Joint Surg Br. 87(5):692-7, 2005
Tornetta P 3rd et al: Axial computed tomography of pilon fractures. Clin Orthop Relat Res. (323):273-6, 1996
Ruwe PA et al: Pilon fractures of the distal tibia. Orthop Rev. 22(9):987-96, 1993
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