Tillaux fracture

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Tillaux fracture
Other namesTillaux-Chaput avulsion fracture
Tillaux-Fraktur 11jw - Roe ap und seitlich - 001.png
X-ray of a Tillaux fracture in an 11 year old female
Specialty Orthopedic

A Tillaux fracture is a Salter–Harris type III fracture through the anterolateral aspect of the distal tibial epiphysis. [1] It occurs in older adolescents between the ages of 12 and 15 when the medial epiphysis had closed but before the lateral side has done so, [2] due to an avulsion of the anterior inferior tibiofibular ligament, at the opposite end to a Wagstaffe-Le Fort avulsion fracture



Same case on CT scan. Tillaux-Fraktur 11jw - CT cor sag ax - 001.png
Same case on CT scan.

The fracture commonly results from an abduction-external rotation force, causing the anterior tibiofibular ligament to avulse the anterolateral corner of the distal tibial epiphysis resulting in a Salter Harris Type III fracture.[ citation needed ]


It occurs in older children at the end of growth. Variability in fracture pattern is due to progression of physeal closure as anterolateral part of distal tibial physis is the last to close. When the lateral physis is the only portion not fused, external rotation may lead to Tillaux or Triplane fractures. [3]


If the displacement at fracture is less than 2 mm, it may be managed conservatively. However, displacement requires open reduction and internal fixation, especially when displacement is over 2 mm. [4]


It occurs commonly in adolescents and older children. However, it does occur rarely in adults though it may be under reported because of difficulty in diagnosis. [5]


This fracture pattern is named after Paul Jules Tillaux, a French Anatomist and Surgeon (1834-1904).[ citation needed ]

See also

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Ankle Region where the foot and the leg meet

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Maisonneuve fracture Medical condition

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Slipped capital femoral epiphysis Medical condition

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Ankle fracture Medical condition

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Superior tibiofibular joint

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Salter–Harris fracture Medical condition

A Salter–Harris fracture is a fracture that involves the epiphyseal plate or growth plate of a bone, specifically the zone of provisional calcification. It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. This type of fracture and its classification system is named for Robert B. Salter and William H. Harris who created and published this classification system in the Journal of Bone and Joint Surgery in 1963.

Malleolus Ankle bone protrusion

A malleolus is the bony prominence on each side of the human ankle.

Paul Jules Tillaux French physician

Paul Jules Tillaux was a French physician who was a native of Aunay-sur-Odon, département Calvados.

Le Fort's fracture of the ankle is a vertical fracture of the antero-medial part of the distal fibula with avulsion of the anterior tibiofibular ligament, opposite to a Tillaux-Chaput avulsion fracture

Crus fracture

A crus fracture is a fracture of the lower legs bones meaning either or both of the tibia and fibula.

Posterolateral corner injuries of the knee are injuries to a complex area formed by the interaction of multiple structures. Injuries to the posterolateral corner can be debilitating to the person and require recognition and treatment to avoid long term consequences. Injuries to the PLC often occur in combination with other ligamentous injuries to the knee; most commonly the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). As with any injury, an understanding of the anatomy and functional interactions of the posterolateral corner is important to diagnosing and treating the injury.

The anterolateral ligament (ALL) is a ligament on the lateral aspect of the human knee, anterior to the fibular collateral ligament.

Index of trauma and orthopaedics articles Wikipedia index

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  1. "Wheeless Online" . Retrieved 30 October 2014.
  2. "Radiopaedia" . Retrieved 30 October 2014.
  3. Hirsch M, et al. Understanding triplane distal tibia fractures. http://dx.doi.org/10.1016/j.rchira.2016.09.002
  4. Tiefenboeck, Thomas M.; Binder, Harald; Joestl, Julian; Tiefenboeck, Michael M.; Boesmueller, Sandra; Krestan, Christian; Schurz, Mark (2016). "Displaced juvenile Tillaux fractures". Wiener klinische Wochenschrift. 129 (5–6): 169–175. doi:10.1007/s00508-016-1059-9. ISSN   0043-5325. PMC   5346147 .
  5. Kumar, Narinder; Prasad, Manish (2014). "Tillaux Fracture of the Ankle in an Adult: A Rare Injury". The Journal of Foot and Ankle Surgery. 53 (6): 757–8. doi:10.1053/j.jfas.2014.06.010. PMID   25128312.