Adult Tillaux Fracture in Association with Volkmann and Maisonneuve Fratures: A Case Report

• Published in: Journal of the American Podiatric Medical Association Vol. 109; no. 6; pp. 477 - 481
• Main Authors: Mansur, Henrique, Lima, Thiago, Goncalves, Cesar, Castro, Isnar
• Format: Journal Article
• Language: English
• Published: United States 01-11-2019
• Subjects: Aged; Ankle Injuries - complications; Ankle Injuries - surgery; Female; Fracture Fixation, Internal - methods; Humans; Ligaments, Articular - injuries; Radiography; Tibia - diagnostic imaging; Tibial Fractures - complications; Tibial Fractures - diagnostic imaging; Tibial Fractures - surgery
• ISSN: 8750-7315; 1930-8264
• DOI: 10.7547/17-187

Tillaux fracture is known to occur in adolescents once it happens during the transition period when the medial and central physis has finished closure, but the lateral physis is still opened. The trauma mechanism is typically external rotation ankle injury resulting in an avulsion fracture of the anterolateral tibial plafond. This fracture has rarely been reported in adults, especially associated with other injuries. We report a case of Tillaux fracture in an adult, associated with a Volkmann fracture and a Maisonneuve fracture, that were surgically treated with open reduction and internal fixation and had an excellent outcome. Recognizing and appropriately treating these injuries is key in the prevention of further degenerative arthritis and instability.