The triplane variant of the tibial apophyseal fracture: a case report and a review of the literature

Ankle Fractures in Children

“…There are case reports of triplane fractures occurring with ipsilateral extremity injuries and rare fracture patterns 18,31,32,[56][57][58][59][60][61] . In what we believe is the largest series of triplane fractures evaluated with CT and multiplanar reconstruction, Brown et al reported that the most common pattern was the two-part fracture (thirty-three of fifty-one fractures) 62 .…”

Reviewing Current Concepts in Distal Tibial Physeal Injuries: New Twists and Old Turns?

“…We draw attention of the reader to the value of the Salter-Harris classification system in terms of reproducibility, reliability, clinical relevance and we feel it represents 'a must know' classification for any orthopaedic surgeon. Treatment largely centres around anatomic reduction and suitable fixation dependent on articular involvement and/or pattern of injury, which may or may not be augmented by a period of immobilization (Table 1) [49,50].…”

“…Triplane fractures, representing a special variant of SH IV injuries, are rare injuries representing 6.3% of physeal injuries, with a two-part fracture pattern being most common, these have a low risk of growth arrest. Extra-articular medial malleolar fractures were seen in 24% of fractures, which is more common than previously reported [17,[48][49][50][51][52][53][54][55]. Minimally displaced and extra-articular triplane fractures may be treated with reduction and long leg immobilization [56].…”