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Santos-Pereira R, Aleixo C, Oliveira M, et al. Painful Nonunion after Missed Juvenile Tillaux Fracture in an Athlete - Case Report and Description of a New Fixation Technique. J Orthop Case Rep. 2018;8(5):7-10doi: 10.13107/jocr.2250-0685.1184.
Santos-Pereira, R., Aleixo, C., Oliveira, M., Sarmento, A., & Santos, M. (2018). Painful Nonunion after Missed Juvenile Tillaux Fracture in an Athlete - Case Report and Description of a New Fixation Technique. Journal of orthopaedic case reports, 8(5), 7-10. https://doi.org/10.13107/jocr.2250-0685.1184
Santos-Pereira, Ricardo, et al. "Painful Nonunion after Missed Juvenile Tillaux Fracture in an Athlete - Case Report and Description of a New Fixation Technique." Journal of orthopaedic case reports vol. 8,5 (2018): 7-10. doi: https://doi.org/10.13107/jocr.2250-0685.1184
Santos-Pereira R, Aleixo C, Oliveira M, Sarmento A, Santos M. Painful Nonunion after Missed Juvenile Tillaux Fracture in an Athlete - Case Report and Description of a New Fixation Technique. J Orthop Case Rep. 2018 Sep-Oct;8(5):7-10. doi: 10.13107/jocr.2250-0685.1184. PMID: 30740364; PMCID: PMC6367285.
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J Orthop Case Rep. 2018 Sep-Oct;8(5):7-10. doi: 10.13107/jocr.2250-0685.1184.

Painful Nonunion after Missed Juvenile Tillaux Fracture in an Athlete - Case Report and Description of a New Fixation Technique.

Journal of orthopaedic case reports

Ricardo Santos-Pereira, Catarina Aleixo, Márcio Oliveira, André Sarmento, Mafalda Santos

Affiliations

  1. Department of Orthopedics, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

PMID: 30740364 PMCID: PMC6367285 DOI: 10.13107/jocr.2250-0685.1184

Abstract

INTRODUCTION: The Tillaux fracture is a rare subtype of tibial physeal fracture that usually occurs in adolescents. There are only a few case series or reports published in the literature and, to our knowledge, this is the first time, a painful nonunion is reported after this type of fracture.

CASE REPORT: A 13-year-old athlete presented to our orthopedic department because of persistent pain after an acute ankle injury 2months before. She was diagnosed with a Tillaux fracture that eventually progressed to nonunion after conservative treatment. Surgery was performed to treat the nonunion, and the fracture fragment was fixed using a soft suture anchor.

CONCLUSION: The Tillaux fracture pattern requires a high level of clinical suspicion and careful evaluation since it can be misdiagnosed as a simple ankle sprain in adolescents and progress to persistent ankle pain without appropriate treatment.Our surgical technique of suture anchor fixation avoids the risk of fragmentation of the fracture fragment and was able to provide an excellent clinical result.

Keywords: Nonunion; Suture anchor; Tillaux

Conflict of interest statement

Conflict of Interest: Nil

References

  1. Am J Orthop (Belle Mead NJ). 1999 May;28(5):309-12 - PubMed
  2. J Bone Joint Surg Am. 1964 Jan;46:25-32 - PubMed
  3. J Pediatr Orthop. 2003 Nov-Dec;23(6):733-9 - PubMed
  4. Knee Surg Sports Traumatol Arthrosc. 2007 Apr;15(4):415-7 - PubMed
  5. J Foot Ankle Surg. 2007 Sep-Oct;46(5):376-86 - PubMed
  6. J Bone Joint Surg Am. 1985 Jun;67(5):687-98 - PubMed
  7. J Trauma. 1972 Apr;12(4):275-81 - PubMed
  8. AJR Am J Roentgenol. 1982 Apr;138(4):683-9 - PubMed
  9. Am J Sports Med. 1978 Sep-Oct;6(5):263-8 - PubMed
  10. J Emerg Med. 1998 Jul-Aug;16(4):603-6 - PubMed

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