title: Intramalleolar triplane fractures of the distal tibial epiphysis.
abstract: 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.
authors.affiliation: Children's Hospital, San Diego, California, USA.
authors.forename: A Y
authors.initials: AY
authors.lastname: Shin
authors.forename: M E
authors.initials: ME
authors.lastname: Moran
authors.forename: D R
authors.initials: DR
authors.lastname: Wenger
mesh_terms: 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