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Triplane Ankle Fracture S82.899A 824.8

Triplane Ankle Fracture xray

Triplane Ankle Fracture xray

Triplane Ankle Fracture ct

Triplane Ankle Fracture CT

synonyms:

Triplane 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

Triplane Fx ICD-9

  • 824.8 (closed; unspecified ankle fracture)
  • 824.9 (open; unspecified ankle fracture)
  • 823.80 (unspecifiecd part, closed, tibia alone)
  • 823.90 (unspecified part, open, Tibia alone)
  • 823.82(unspecifiecd part, closed, fibula with tibia)
  • 823.92 (unspecified part, open, fibula with Tibia)

Triplane Fx Etiology / Epidemiology / Natural History

  • A form of transitional ankle fracture related to the asymmetric pattern of distal tibial physeal closure.
  • Thought to be caused by external rotation forces.

Triplane Fx Anatomy

  • Distal tibial growth plate closure starts anteromedially, progresses posteriorly and laterally and finishes anterolaterally.

Triplane 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.

Triplane Fx Xray / Diagnositc Tests

  • A/P, lateral and mortise views of the ankle. Appears like a Salter-Harris III fx on the A/P view, but like a Salter-Harris II fx on the lateral view.
  • CT often helpful to determine fracture configuration. (Jones S, Injury 2003;34:293).
  • MRI generally not indicated although can provide information on ligamentous and physeal injury. (Lohman M, Skeletal Tadiol 2001;30:504).

Triplane Fx Classification / Treatment

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

Triplane Fx Associated Injuries / Differential Diagnosis

  • Incisural Ankle Fracture
  • Juvenile Tillaux Ankle Fracture
  • Adolescent Pilon Fracture
  • Pediatric Distal Tibial Fracture

Triplane Fx Complications

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

Triplane Fx Follow-up Care

Triplane Fx Review References

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