title: Ipsilateral tibial shaft fracture and distal tibial triplane fracture with an intact fibula: a case report.
abstract: We present a case of an ipsilateral tibial shaft fracture and a distal tibial triplane fracture with an intact fibula in a 14-year-old boy. Computed tomography revealed the distal tibial triplane fracture with a 2.6-mm displaced Tillaux fragment and a posterior malleolar shear fragment. Open reduction and internal fixation was performed to optimise healing and outcome. This is a rare injury, for which a high index of suspicion is needed for diagnosis. Missing the intra-articular distal tibial triplane fracture could result in a disabling angular deformity (mostly varus) or limb-length discrepancy secondary to premature partial closure of the distal physis.
authors.affiliation: Department of Radiology, Nottingham University Hospitals NHS Trust, City Hospital campus, United Kingdom.
authors.forename: Walter B
authors.initials: WB
authors.lastname: Sprenger De Rover
authors.forename: Sulaiman
authors.initials: S
authors.lastname: Alazzawi
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Hallam
authors.forename: Neil P
authors.initials: NP
authors.lastname: Walton
mesh_terms: D000293:Adolescent; D005538:Football / Q000293:injuries*; D005593:Fracture Fixation, Internal; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*