Adult Tillaux fracture in association with Volkmann and Maisonneuve fractures. Case report
DOI:
https://doi.org/10.1016/j.rccot.2020.02.004Keywords:
ankle fracture, tibial plafond, tillaux, maisonneuveAbstract
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
Downloads
References
Kumar N, Prasad M. Tillaux Fracture of the Ankle in an Adult: A Rare Injury J Foot Ankle Surg. 2014;53:757-8. https://doi.org/10.1053/j.jfas.2014.06.010
Kose O, Yuksel HY, Guler F, Ege T. Isolated Adult Tillaux Fracture Associated With Volkmann Fracture: A Unique Combination of Injuries - Report of Two Cases and Review of the Literature. J Foot Ankle Surg. 2016:1-6. https://doi.org/10.1053/j.jfas.2015.10.005
Miller MD. Arthroscopically Assisted Reduction and Fixation of an Adult Tillaux Fracture of the Ankle. Arthroscopy. 1997;13:117-9. https://doi.org/10.1016/S0749-8063(97)90220-6
Duchesneau S, Fallat LM. The Tillaux Fracture. J Foot Ankle Surg. 1996;35:127-33. https://doi.org/10.1016/S1067-2516(96)80029-9
Patel A, Shur V. Juvenile Tillaux ankle fracture pattern in a skeletally mature adult. The Foot. 2006;16:54-9. https://doi.org/10.1016/j.foot.2005.11.006
Jennings MM, Lagaay P, Schuberth JM. Arthroscopic Assisted Fixation of Juvenile Intra-articular Epiphyseal Ankle Fractures. J Foot Ankle Surg. 2007;46:376-86. https://doi.org/10.1053/j.jfas.2007.07.001
Smith MG, Ferguson E, Kurdy NM. Persistent Diastasis in a Maisonneuve Fracture--Interposition of a Tibial Osteochondral Fragment: A Case Report. J Foot Ankle Surg. 2005;44:225-7. https://doi.org/10.1053/j.jfas.2005.02.004
Simon WH, Floros R, Schoenhaus H, et al. Juvenile fracture of Tillaux. A distal tibial epiphyseal fracture. J Am Podiatr Med Assoc. 1989;79:295-9. https://doi.org/10.7547/87507315-79-6-295
Sharma B, Reddy IS, Meanock C. The adult Tillaux fracture: one not to miss. BMJ Case Rep. 2013. https://doi.org/10.1136/bcr-2013-200105
Marti CB, Kolker DM, Gautier E. Isolated adult Tillaux fracture: a case report. Am J. Orthop. 2005;34:337-9.