title: The adult Tillaux fracture: one not to miss.
abstract: This case is a rare adult type Tillaux fracture. This fracture should be diagnosed in the emergency department. The fracture requires careful evaluation with awareness of associated injury. Standard radiological views (antero-posterior and lateral) of the ankle may not clearly show the fracture displacement hence, an oblique view is required. The fracture should be managed by the emergency physician, if the displacement is less than 2 mm, by immobilising with a non-weight bearing cast or ankle braces for 6 weeks. If the fracture fragment is displaced more than 2 mm, it should be treated by closed reduction failing which open reduction and internal fixation is the standard practice.
authors.affiliation: Department of Emergency, Royal Berkshire Hospital, Reading, Berkshire, UK.
authors.forename: Bishnulatpam
authors.initials: B
authors.lastname: Sharma
authors.forename: Ippala Sreenath
authors.initials: IS
authors.lastname: Reddy
authors.forename: Colin
authors.initials: C
authors.lastname: Meanock
mesh_terms: D000328:Adult; D002370:Casts, Surgical; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging*