Pilon fracture - Revision history

Masoodrm: /* Background */

2022-04-30T15:14:18Z

Background

← Older revision		Revision as of 15:14, 30 April 2022
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	*Also known as a tibial plafond fracture		*Also known as a tibial plafond fracture
	*Fairly common; account for 5-10% of all tibial fractures		*Fairly common; account for 5-10% of all tibial fractures
			*Average age of occurrence is 35-45 years old; males > females

	==Clinical Features==		==Clinical Features==

2022-04-30T15:13:26Z

Background

← Older revision		Revision as of 15:13, 30 April 2022
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	==Background==		==Background==
	*Fracture of the distal end of the tibia aka tibial plafond (French for ceiling) ~~due to hitting~~ the talar dome		*Fracture of the distal end of the tibia aka tibial plafond (French for ceiling) after the talar dome is driven into it
	**Typically due to high energy axial loading injuries (motor vehicle accident, fall from height)		**Typically due to high energy axial loading injuries (motor vehicle accident, fall from height)
	*Also known as a tibial plafond fracture		*Also known as a tibial plafond fracture

2022-04-30T15:11:32Z

Background

← Older revision		Revision as of 15:11, 30 April 2022
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	**Typically due to high energy axial loading injuries (motor vehicle accident, fall from height)		**Typically due to high energy axial loading injuries (motor vehicle accident, fall from height)
	*Also known as a tibial plafond fracture		*Also known as a tibial plafond fracture
			*Fairly common; account for 5-10% of all tibial fractures

	==Clinical Features==		==Clinical Features==

2022-04-30T15:11:03Z

Background

← Older revision		Revision as of 15:11, 30 April 2022
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	==Background==		==Background==
	*~~High energy axial loading injury that drives~~ tibial plafond (French for ceiling) ~~into~~ talar dome		*Fracture of the distal end of the tibia aka tibial plafond (French for ceiling) due to hitting the talar dome
	**~~Motor~~ vehicle ~~accidents~~, ~~falls~~ from height		**Typically due to high energy axial loading injuries (motor vehicle accident, fall from height)
	**"Pilon" is another word for pestle, a tool used to grind substance in a mortar
	*Also known as a tibial plafond fracture		*Also known as a tibial plafond fracture

2019-09-18T04:59:29Z

Management

← Older revision		Revision as of 04:59, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	*[[Long leg posterior splint]]		*[[Long leg posterior splint]]
	*Consult ortho for surgery		*Consult ortho for surgery

2019-05-10T04:53:54Z

Evaluation

← Older revision		Revision as of 04:53, 10 May 2019
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	==Evaluation==		==Evaluation==
			[[File:Pilon fracture xray.jpg\|thumb\|Pilon fracture]]
			[[File:Pilon fracture.jpg\|thumb\|Pilon Fracture]]
			===Work-Up===
			*Plain radiographs
			**AP, Lateral, and Mortise views of ankle
			*CT often necessary to reveal amount of articular surface displacement/develop treatment plan

			===Diagnosis===
	*Assess distal pulse, motor, and sensation		*Assess distal pulse, motor, and sensation
	*Inspect skin for signs of open fracture		*Inspect skin for signs of open fracture
	~~[[File:Pilon fracture.jpg\|thumb\|Pilon Fracture]]~~
	*Suspect other fracture as well, given mechanism:		*Suspect other fracture as well, given mechanism:
	**Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,		**Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
	*Monitor for compartment syndrome		*Monitor for compartment syndrome

	~~===Imaging===~~
	*Plain radiographs
	**AP, Lateral, and Mortise views of ankle
	*CT often necessary to reveal amount of articular surface displacement/develop treatment plan

	==Management==		==Management==

2018-03-18T17:45:27Z

Disposition

← Older revision		Revision as of 17:45, 18 March 2018
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	==Disposition==		==Disposition==
	*If stabilized without evidence of significant articular displacement, can be managed as outpatient after consultation with Ortho		*If stabilized without evidence of significant articular displacement, can be managed as outpatient after consultation with Ortho
	*Admit for:
	**Open fracture		===Admit for===
	**Signs of neurovascular compromise		*[[Open fracture]]
	**Concern for compartment syndrome		*Signs of neurovascular compromise
			*Concern for [[compartment syndrome]]

	==See Also==		==See Also==

2018-03-14T17:32:32Z

← Older revision		Revision as of 17:32, 14 March 2018
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	==Disposition==		==Disposition==
			*If stabilized without evidence of significant articular displacement, can be managed as outpatient after consultation with Ortho
			*Admit for:
			**Open fracture
			**Signs of neurovascular compromise
			**Concern for compartment syndrome

	==See Also==		==See Also==

2018-03-14T17:15:58Z

← Older revision		Revision as of 17:15, 14 March 2018
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	===Imaging===		===Imaging===
	*CT necessary to reveal amount of articular surface displacement/develop treatment plan		*Plain radiographs
			**AP, Lateral, and Mortise views of ankle
			*CT often necessary to reveal amount of articular surface displacement/develop treatment plan

	==Management==		==Management==

2018-03-14T17:13:49Z

← Older revision		Revision as of 17:13, 14 March 2018
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	==Evaluation==		==Evaluation==
			*Assess distal pulse, motor, and sensation
			*Inspect skin for signs of open fracture
	[[File:Pilon fracture.jpg\|thumb\|Pilon Fracture]]		[[File:Pilon fracture.jpg\|thumb\|Pilon Fracture]]
	*Suspect other ~~fractures~~ as well:		*Suspect other fracture as well, given mechanism:
	**Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,		**Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
	*Monitor for compartment syndrome		*Monitor for compartment syndrome