1994;163 (1): 141-7. Distal tibia fractures 1. Monteggia fracture-dislocations Bado classification of fractures of the proximal ulna: I = with anterior radial dislocation II = with posterior radial dislocation III = with lateral radial dislocation IV = with anterior radial dislocation and fracture … The distal tibial fracture would be designated at “4.3” (e.g., 43-C2) injury, followed by the type and group classification above. Paediatric ankle fractures represents about 5% of all paediatric fractures. The Role of Cross-Sectional Imaging in Evaluating Pediatric Skeletal Trauma. 3, © 2020 Radiological Society of North America, https://doi.org/10.1148/radiology.164.2.3602382, Surgically Relevant Patterns in Triplane Fractures, Evaluation of Intra-articular Fracture Extension After Gunshot Wounds to the Lower Extremity, Vergleich von MRT und CT bei Frakturen im Kindesalter. 130, No. Introduction. 8, 20 June 2010 | Archives of Orthopaedic and Trauma Surgery, Vol. CT, with its transaxial orientation, is the only radiographic technique that directly images the otherwise inaccessible, horizontally oriented tibial … 100, No. Muller AO classification is the most widely used system for classifying distal femoral fractures. It is the most common physis to be injured in the lower limb accounting to approximately 15–20% of all physeal injuries. 10, The Journal of Bone and Joint Surgery, Vol. Unable to process the form. Mustonen AO, Koivikko MP, Kiuru MJ et-al. The earliest attempt at tibial plateau fracture classification was based on the observation of common themes and three fracture types were described: split of a condyle, subchondral depression, and comminuted bicondylar involvement. 4, Journal of Pediatric Orthopaedics, Vol. According to Lauge Hansen the oblique fibular fracture indicates that this is a Supination Exorotation injury stage 2 or higher. 2. The standard radiographic assessment of the ankle includes three views: anteroposterior (AP), mortise (15- to 20-degree internal rotation), and lateral ().With significant injury to the ankle, a consistent pattern of in stability occurs, specifically lateral translation and external rotation of the talus relative to the tibial plafond. The most common fracture of the tibial plateau is type II. 6, Seminars in Roentgenology, Vol. presented their classification system in 1979, which was created based on findings from AP radiographs. 28, No. 11, Clinics in Orthopedic Surgery, Vol. This system divides tibial plateau fractures into six types: Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement; Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component 2, Clinics in Sports Medicine, Vol. 31, No. fractures involving a single facial buttress, Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture), Watson-Jones classification (tibial tuberosity avulsion fracture), Nunley-Vertullo classification (Lisfranc injury), pelvis and lower limb fractures by region, Tibial plateau fractures - Schatzker classification, Schatzker classification of tibial plateau injuries. Plafond fractures are infrequent injuries, accounting for 7-10% of all tibial fractures. The AO/OTA classification system divides fractures of the distal tibia into three main types: extra-articular (type a), partial articular (type b) and complete articular (type c) as depicted in Figure 41.1. Orthop Rev 17:1245–1250, 1988 PubMed Google Scholar 121. 2009;193 (5): 1354-60. Markhardt B, Gross J, Monu J. Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment1. Kode L, Lieberman JM, Motta AO et-al. The Salter-Harris classification is a means of categorizing epiphyseal plate fractures and provides clues to their prognosis All such these fractures, by definition, involve or extend through the epiphyseal plate so that all such fractures occur in children before the epiphyseal plate closes J Orthop Trauma 1987; 1(2): 97–119. Classification. UW Emergency Radiology; Trauma Radiology Reference Resource; 11. Schatzker classification system is one method of classifying tibial plateau fractures. 6 Fractures in each type are then classified on the basis of fracture comminution into one of three groups, each of which can be further subdivided into three subgroups based upon other fracture … Trauma Radiology Reference Resource; 11. UW Emergency Radiology; Trauma Radiology Reference Resource; 09. 15, No. 3. 40, No. 2, No. McGovern Medical School Highlight and summarize key imaging findings •Comminuted impacted supracondylar fracture of the distal left femur with small intra-articular bone fragment by the lateral condyle. Type III - Depression lateral plateau: This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed. Increase in type number denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis 1. Most fractures are secondary to high-energy trauma that result in significant bone and soft tissue damage. type I: articular fracture with minimal or no displacement; type II: displacement of the articular surface but with minimal or no comminution; type III: marked comminution as well as articular impaction; Radiographic features Plain radiograph / CT. by definition, the fracture involves the tibial plafond and the distal tibial articular surface Fracture with a dorsal tilt. Epiphyseal Growth Plate Fracture–Separations, Distal Tibial Triplane Fractures: Long-Term Follow-up. 1, Techniques in Orthopaedics, Vol. Between 2002 and 2004, 104 patients were admitted … Medline, Google Scholar; 14 Moore TM, Patzakis MJ, Harvey JP. In this retrospective and multicentre study we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. Distal tibial triplane features, which constitute 6%-10% of epiphyseal injuries, are most accurately delineated and analyzed with computed tomography (CT). Nonoperative Treatment Nonoperative treatment of distal tibial fractures is recommended only for truly nondisplaced fractures or fractures in patients that have an absolute contraindication for surgical management. There are a number of ways to classify distal radius fractures. Check for errors and try again. Distal tibial physeal fractures can be described using a number of classification systems. Pilon fractures, or fractures of the tibial plafond, range from low- to high-energy axial-loading injuries. 4, American Journal of Roentgenology, Vol. 2009;29 (2): 585-597. Current treatment of pediatric distal metaphyseal tibial/fibular fractures is challenging due to poor skin and soft tissue coverage and limited blood supply to the distal tibia area in children. The Danis–Weber classification (often known just as the Weber classification) is a method of describing ankle fractures.It has three categories: Type A. Fracture of the lateral malleolus distal to the syndesmosis (the connection between the distal ends of the tibia and fibula).Typical features: below level of the ankle joint; tibiofibular syndesmosis intact The Toronto experience 1968--1975. They involve varying degrees of metaphyseal disruption, articular damage, and malleolar displacement. Does Adding Computed Tomography Change the Diagnosis and Treatment of Tillaux and Triplane Pediatric Ankle Fractures? Plafond fractures are also known as \"pilon\" fracture, or \"explosion fracture.\" Distal tibial triplane features, which constitute 6%-10% of epiphyseal injuries, are most accurately delineated and analyzed with computed tomography (CT). J Bone Joint Surg Br 1992; 74(6): 840–847. 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