Pilon fracture: Difference between revisions
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{{Distal leg fractures DDX}} | {{Distal leg fractures DDX}} | ||
== | ==Evaluation== | ||
[[File:Pilon fracture.jpg|thumb|Pilon Fracture]] | [[File:Pilon fracture.jpg|thumb|Pilon Fracture]] | ||
*Suspect other fractures as well: | *Suspect other fractures as well: | ||
Revision as of 03:01, 26 July 2016
Background
- Axial loading injury that drives tibial plafond (French for ceiling) into talar dome
- "Pilon" is another word for pestle, a tool used to grind substance in a mortar
- Also known as a tibial plafond fracture
Clinical Features
Differential Diagnosis
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Evaluation
- Suspect other fractures as well:
- Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
- Monitor for compartment syndrome
Imaging
- CT necessary to reveal amount of articular surface displacement/develop treatment plan
Management
- Long leg posterior splint
- Consult ortho for surgery