You are here

Adolescent Pilon Fracture S82.209A 823.80

 

synonyms:Tibial Plafond Fracture, distal tibia fracture

Adolescent Pilon Fx ICD-10

 

A- initial encounter for closed fracture

B- initial encounter for open fracture type I or II

C- initial encounter for open fracture type IIIA, IIIB, or IIIC

D- subsequent encounter for closed fracture with routine healing

E- subsequent encounter for open fracture type I or II with routine healing

F- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

G- subsequent encounter for closed fracture with delayed healing

H- subsequent encounter for open fracture type I or II with delayed healing

J- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

K- subsequent encounter for closed fracture with nonunion

M- subsequent encounter for open fracture type I or II with nonunion

N- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

P- subsequent encounter for closed fracture with malunion

Q- subsequent encounter for open fracture type I or II with malunion

R- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

S- sequela

Adolescent Pilon Fx ICD-9

  • 823.80(closed fracture of unspecified part of tibia)
  • 823.81(closed fracture lower leg NOS; fibula alone)
  • 823.82 (closed fracture lower leg NOS; fibula with tibia)
  • 823.90(open fracture of unspecified part of tibia)
  • 823.91(open fracture of unspecified part fibula alone)
  • 823.92 (Unspecified part, open, fibula with tibia)

Adolescent Pilon Fx Etiology / Epidemiology / Natural History

  • Definition: any fracture of the tibial plafond with articular and physeal involvement, variable talar and fibular involvement, variable comminution, and >5mm displacement. (Letts M, JPO 2001;21:2026).

Adolescent Pilon Fx Anatomy

Adolescent Pilon Fx Clinical Evaluation

  • Pain and deformity in the ankle, degree dependent on fracture severity.
  • Evaluate skin integrity, swelling, and neurovascular status of the leg/foot.

Adolescent Pilon Fx Xray / Diagnositc Tests

  • A/P, lateral and mortise views of the ankle. Appears like a Tillaux fracture on A/P and mortise views.
  • CT demonstrates that fracture line does not extend through the anterior cortex.
  • MRI generally not indicated although can provide information on ligamentous and physeal injury. (Lohman M, Skeletal Tadiol 2001;30:504).

Adolescent Pilon Fx Classification / Treatment

  • Letts Classification (Letts M, JPO 2001;21:2026).
  • Type I: minimal comminution, no physeal displacement
  • Type II: marked comminution, <5mm physeal displacement
  • Type III: marked comminution, >5mm physeal displacement

Adolescent Pilon Fx Associated Injuries / Differential Diagnosis

Adolescent Pilon Fx Complications

  • Delayed union, nonunion
  • Malunion
  • Growth arrest
  • Arthritis
  • Osteonecrosis of the distal tibial epiphysis
  • Compartment syndrome

Adolescent Pilon Fx Follow-up Care

Adolescent Pilon Fx Review References

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer