You are here

Juvenile Tillaux Ankle Fracture S82.899A 824.8

 

synonyms:

Juvenile Tillaux 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

Juvenile Tillaux Fx ICD-9

  • 824.8 Fracture of ankle; unspecified, closed
  • 824.9 Fracture of ankle; unspecified, open

Juvenile Tillaux Fx Etiology / Epidemiology / Natural History

  • A Salter-Harris type II distal tibial fracture involving the anterolateral distal tibia.
  • A form of transitional ankle fracture related to the asymmetric pattern of distal tibial physeal closure.
  • Occur in early adolescence
  • Thought to be caused by external rotation forces.

Juvenile Tillaux Fx Anatomy

  • Fracture results from avulsion by the anterior tibiofibular ligament.
  • Distal tibial growth plate closure starts anteromedially, progresses posteriorly and laterally and finishes anterolaterally.

Juvenile Tillaux 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.

Juvenile Tillaux 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 generally indicated. Demonstrates that fracture line does not extend through the anterior cortex. (Horn BD, JPO 2001;21:162).
  • MRI generally not indicated although can provide information on ligamentous and physeal injury. (Lohman M, Skeletal Tadiol 2001;30:504).

Juvenile Tillaux Fx Classification / Treatment

  • Nondisplaced: immobilization
  • Displaced (>2mm): open or closed reduction and fixation with cannulated screws

Juvenile Tillaux Fx Associated Injuries / Differential Diagnosis

  • Pediatric Distal Tibial Fracture
  • Triplane Ankle Fracture
  • Adolescent Pilon Fracture
  • Incisural Ankle Fracture

Juvenile Tillaux Fx Complications

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

Juvenile Tillaux Fx Follow-up Care

Juvenile Tillaux 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