Juvenile Tillaux ankle fracture pattern in a skeletally mature adult

The rare isolated adult Chaput-Tillaux fracture: two case reports and review of the literature

“…7 In this population, the susceptibility of the anterolateral tibial aspect to a forced supination and external rotation is explained by the well-known asymmetric physiologic physiodesis: it starts to close centrally, fusion then progresses medially with the anterolateral portion fusing last. 6,[9][10][11][12][13] The vulnerable growth plate may not be fused until 14 years in girls and 18 years of age in boys. [6][7][8]11,14,15 The adult Tillaux fracture, also recognized as CTF, has a relative incidence of 12% in transmalleolar fractures but the frequency as isolated bony avulsion remains unknow.…”

“…6,[9][10][11][12][13] The vulnerable growth plate may not be fused until 14 years in girls and 18 years of age in boys. [6][7][8]11,14,15 The adult Tillaux fracture, also recognized as CTF, has a relative incidence of 12% in transmalleolar fractures but the frequency as isolated bony avulsion remains unknow. [16][17] It is classified as AO/OTA43B.…”

“…26 In later published cases was possible to observe that the most common approach was the open reduction through an anterolateral incision and reduction with screws. 5,6,11,20 In a different approach, Oak et al reduced an anterior fragment with only two trans-syndesmotic screws, justifying this option by the instability in stress views. 7 Lee et al reduced an interposed Chaput fragment and made an internal fixation with a T-shape plate along with stabilization of the syndesmosis with screws.…”

“…Some authors advocate fixation of 1 mm displacements and others suggest greater functional benefit in an intra-articular gap greater than 2.5 mm. 4,5,[9][10][11]15,18,19,22 The potential complications are well recognized and range from pain to premature degenerative arthritis. 4,14,19 To the authors' knowledge, there are no previous studies reporting complications in adults with isolated CTF.…”

Ankle fracture associated with a tillaux fracture in adults - A case report

“…Malleolar fractures are commonly encountered in common orthopedic surgery, they are generally secondary to a high energy trauma; but, the fracture of tillaux tubercle in adults is very rare [1] It is accompanied with a detachment of the anterior tibiofibular ligament, which is posteriorly responsible for a lower tibio-fibular instability [2]. This pathological entity corresponds to an epiphyseal detachment stage 3 in children according to Salter and Harris [3,4].…”