Intramalleolar triplane fractures of the distal tibial epiphysis.
The intramalleolar triplane fracture of the distal tibial epiphysis is a relatively rare injury in children. We studied five children with intramalleolar triplane fractures. Four of the five children were competitive athletes. Each child underwent computerized tomography with three-dimensional reconstruction. Delineation of the intramalleolar fracture pattern with computerized tomography with three-dimensional reconstruction demonstrated three distinct types of intramalleolar triplane fractures: I. intraarticular and within the weight-bearing zone, II. intraarticular and outside the weight-bearing zone, and III. extraarticular. Computerized tomography with three-dimensional reconstruction delineated the fracture pattern and allowed selection of the optimal treatment method. A classification scheme of the three types of intramalleolar triplane fracture is proposed.
Shin
A Y
AY
Children's Hospital, San Diego, California, USA.
Moran
M E
ME
Wenger
D R
DR
D000293:Adolescent; D001265:Athletic Injuries / Q000150:complications; D002370:Casts, Surgical; D002648:Child; D004838:Epiphyses / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D012399:Rotation; D013978:Tibial Fractures / Q000145:classification* / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016474:Weight-Bearing