distal tibial fracture classification radiology

It is the most common physis to be injured in the lower limb accounting to approximately 15–20% of all physeal injuries. 2. Mustonen AO, Koivikko MP, Kiuru MJ et-al. CT, with its transaxial orientation, is the only radiographic technique that directly images the otherwise inaccessible, horizontally oriented tibial … 1, Techniques in Orthopaedics, Vol. UW Emergency Radiology; Trauma Radiology Reference Resource; 11. Most fractures are secondary to high-energy trauma that result in significant bone and soft tissue damage. Nonoperative Treatment Nonoperative treatment of distal tibial fractures is recommended only for truly nondisplaced fractures or fractures in patients that have an absolute contraindication for surgical management. 130, No. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 40, No. The standard radiographic assessment of the ankle includes three views: anteroposterior (AP), mortise (15- to 20-degree internal rotation), and lateral ().With significant injury to the ankle, a consistent pattern of in stability occurs, specifically lateral translation and external rotation of the talus relative to the tibial plafond. They involve varying degrees of metaphyseal disruption, articular damage, and malleolar displacement. The earliest attempt at tibial plateau fracture classification was based on the observation of common themes and three fracture types were described: split of a condyle, subchondral depression, and comminuted bicondylar involvement. 24, No. ANATOMY Internal rotation of distal tibia 4. Clinical orthopaedics and related research. type I: articular fracture with minimal or no displacement; type II: displacement of the articular surface but with minimal or no comminution; type III: marked comminution as well as articular impaction; Radiographic features Plain radiograph / CT. by definition, the fracture involves the tibial plafond and the distal tibial articular surface Distal tibial triplane features, which constitute 6%-10% of epiphyseal injuries, are most accurately delineated and analyzed with computed tomography (CT). Journal of Pediatric Orthopaedics, Vol. Distal tibia fractures 1. Check for errors and try again. Markhardt B, Gross J, Monu J. Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment1. 6, The Journal of Trauma: Injury, Infection, and Critical Care, Vol. Classification. Current treatment of pediatric distal metaphyseal tibial/fibular fractures is challenging due to poor skin and soft tissue coverage and limited blood supply to the distal tibia area in children. presented their classification system in 1979, which was created based on findings from AP radiographs. 4, Journal of Pediatric Orthopaedics, Vol. 3, © 2020 Radiological Society of North America, https://doi.org/10.1148/radiology.164.2.3602382, Surgically Relevant Patterns in Triplane Fractures, Evaluation of Intra-articular Fracture Extension After Gunshot Wounds to the Lower Extremity, Vergleich von MRT und CT bei Frakturen im Kindesalter. 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