Tran Alina T, Nutter Kelsi, Singleton Tanya, Nguyen Tan, Lee Daniel
*Midwestern University, Arizona College of Podiatric Medicine, Glendale, AZ. Dr. Tran is now with Scripps Memorial Hospital Encinitas, Encinitas, CA.
†Kaiser Hospital Foundation, Department of Orthopaedic Surgery, South Sacramento, CA.
J Am Podiatr Med Assoc. 2023 May-Jun;113(3). doi: 10.7547/22-076.
Tillaux fractures in adults are rare and, if unrecognized, can lead to ankle fracture healing complications, early progression of arthritis, and limited ankle movement caused by pain and degenerative changes. The Tillaux fracture was first described by Paul Tillaux as an external rotation injury of the ankle, involving an avulsion fracture of the distal anterolateral tibia. This fracture can be easily overlooked on plain radiographs in the adult. A high index of suspicion for this type of fracture pattern along with the use of computed tomographic scanning can help confirm the suspected diagnosis, rule out other tibial injuries, and provide more information on the best course of action. Historically, Tillaux fractures have been more common in adolescents because of the open tibial epiphyseal plate. Once the epiphyseal plate fully closes, skeletal maturity is achieved, thus making it extremely unusual for the anterior tibiofibular ligament to cause an avulsion fragment of the distal anterolateral tibia. Because of how uncommon this type of fracture is in adults, it has rarely been reported in our literature. We reviewed the literature and present a case report of this rare fracture injury.
成人Tillaux骨折较为罕见，若未被识别，可导致踝关节骨折愈合并发症、关节炎早期进展以及因疼痛和退行性变引起的踝关节活动受限。Tillaux骨折最初由保罗·蒂洛描述为踝关节的外旋损伤，累及胫骨远端前外侧的撕脱骨折。这种骨折在成人的X线平片上很容易被忽视。对此类骨折模式保持高度怀疑，并结合使用计算机断层扫描，有助于确诊疑似病例，排除其他胫骨损伤，并为最佳治疗方案提供更多信息。从历史上看，由于胫骨骨骺板开放，Tillaux骨折在青少年中更为常见。一旦骨骺板完全闭合，骨骼成熟，因此前胫腓韧带导致胫骨远端前外侧撕脱骨折的情况极为罕见。由于这种类型的骨折在成人中非常罕见，在我们的文献中很少有报道。我们回顾了文献并呈现了这例罕见骨折损伤的病例报告。
