Tillaux fracture: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
'''Distal Leg Fractures'''
*[[Tibial shaft fracture]]
*[[Pilon fracture]]
*[[Maisonneuve fracture]]
*[[Tibia fracture (peds)]]
*[[Ankle fracture]]
**[[Ankle fracture (peds)]]
*[[Foot and toe fractures]]
*Triplane fracture
'''Ankle Injuries'''
*[[Ankle sprain]]
*[[Ankle dislocation]]
{{Distal leg fractures DDX}}
{{Distal leg fractures DDX}}

Revision as of 18:28, 27 September 2016


  • Salter-Harris type III fracture of the anterolateral portion of the distal tibia
    • caused by an avulsion of anterior inferior tibiofibular ligament
  • Occurs typically in adolescents, age 12-14
    • occurs in children nearing skeletal maturity, as anterolateral portion most vulnerable at this age

Clinical Features

  • Typically due to external rotation force
    • forced lateral rotation of foot OR medial rotation of leg on a fixed foot
  • Often associated with external rotation deformity of the ankle/foot

Differential Diagnosis

Distal Leg Fractures


  • XR
    • Salter-Harris III fx of anterolateral distal tibia epiphysis
  • CT scan
    • further delineates fracture pattern and degree of displacement


  • Ortho consult
  • Nonoperative
    • closed reduction, long leg cast x 4wks, short leg cast x 2-3wks
    • indicated only if <2mm of displacement after closed reduction (rare)
  • Operative
    • Open reduction and internal fixation (ORIF)
    • indicated if >2mm of displacement after reduction attempt


  • Most will require surgical reduction
  • Admit

See Also

External Links