Adult Tillaux fracture in association with Volkmann and Maisonneuve fractures. Case report

Authors

  • Henrique Mansur Gonçalves Universidad Federal del Estado de Rio de Janeiro. Rio de Janeiro, Brazil
  • Thiago Coelho Lima Escuela de Medicina de Ribeirão Preto de la universidad de São Paulo. São Paulo, Brazil
  • Cesar Barbosa Gonçalves Hospital Naval Marcílio Dias. Rio de Janeiro, Brazil
  • Isnar Moreira de Castro Junior Instituto Nacional de Traumatología y Ortopedia. Rio de Janeiro, Brazil
  • Max Ramos Universidad Federal del Estado de Rio de Janeiro. Rio de Janeiro, Brazil

DOI:

https://doi.org/10.1016/j.rccot.2020.02.004

Keywords:

ankle fracture, tibial plafond, tillaux, maisonneuve

Abstract

Tillaux fracture is known to occur in adolescents once it happens during transition period when the medial and central physis has finished closure, but the lateral physis is still opened. The trauma mechanism is typically external rotation ankle injury resulting in an avulsion fracture of the anterolateral tibial plafond. This fracture has rarely been reported in adults, especially associated with others injuries. We report a case of Tillaux fracture in an adult, associated with a Volkmann fracture and a Maisonneuve fracture, that were surgery treated with open reduction and internal fixation and had an excellent outcome. Recognize and appropriately treat each one of these injuries is the key to prevent further degenerative arthritis and instability.
Evidence Level: IV

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Author Biographies

Henrique Mansur Gonçalves, Universidad Federal del Estado de Rio de Janeiro. Rio de Janeiro, Brazil

Universidad Federal del Estado de Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Thiago Coelho Lima, Escuela de Medicina de Ribeirão Preto de la universidad de São Paulo. São Paulo, Brazil

Escuela de Medicina de Ribeirão Preto de la universidad de São Paulo, São Paulo, SP, Brazil.

Cesar Barbosa Gonçalves, Hospital Naval Marcílio Dias. Rio de Janeiro, Brazil

Departamento de Cirugía de pie y Tobillo, Hospital Naval Marcílio Dias, Rio de Janeiro, RJ, Brazil.

Isnar Moreira de Castro Junior, Instituto Nacional de Traumatología y Ortopedia. Rio de Janeiro, Brazil

Departamento de Cirugía de pie y Tobillo, Instituto Nacional de Traumatología y Ortopedia, Rio de Janeiro, RJ, Brazil.

Max Ramos, Universidad Federal del Estado de Rio de Janeiro. Rio de Janeiro, Brazil

Universidad Federal del Estado de Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

References

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Published

2020-03-04

How to Cite

1.
Mansur Gonçalves H, Coelho Lima T, Barbosa Gonçalves C, Moreira de Castro Junior I, Ramos M. Adult Tillaux fracture in association with Volkmann and Maisonneuve fractures. Case report. Rev. Colomb. Ortop. Traumatol. [Internet]. 2020 Mar. 4 [cited 2025 May 10];33(3-4):123-7. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/282

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Section

Case report