Triplane fracture of the distal tibia

Proximal tibia triplane fracture: A serious presentation of a serious injury

“…2 The term triplane comes from the nature of the fracture occurring in the sagittal, coronal, and axial planes. 3 Distinct fracture patterns occur in relation to the position and rotational forces placed on the foot at the time of injury. 10 Specific patterns include two-, three-, and four-part fractures with multiple fracture fragments occurring at the joint due to axial loading at the time of injury.…”

“…10 Specific patterns include two-, three-, and four-part fractures with multiple fracture fragments occurring at the joint due to axial loading at the time of injury. 3 As with all fractures involving the physeal growth plate, long-term follow-up is necessary until growth maturity occurs. If premature physeal closure occurs at the ankle joint, the resulting deformity is usually insignificant as the patient is already of enough advanced age that any resulting deformity is unlikely to be symptomatic.…”

Triplane Fracture: An Intricate Pediatric Injury

“…Although several previous medical reports had described the special characteristics of these rare adolescent lesions [1][2][3], this term was coined by Lynn in 1972 [4].…”

“…More specifically the sagittal fracture extends through the epiphysis, whilst the coronal component occurs through the posterior tibial metaphysis, and the transverse fracture imperils the growth plate [2,7].…”

“…Given their complexity, the exact fracture pattern of these multiplanar injuries cannot always be easily identified based on standard anteroposterior, medial-lateral and mortise plain radiographs [8] so often added investigation with two or three-dimensional imaging is mandatory [2]. Advanced radiography imaging and more specifically Computerized Tomography (CT) is a useful tool which depicts the fracture configuration in multiple planes.…”