Ankle fracture (peds) - Revision history

Ostermayer at 17:06, 17 January 2026

2026-01-17T17:06:52Z

← Older revision		Revision as of 17:06, 17 January 2026
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	{{~~peds top~~}} ~~[[ankle fracture]]~~		{{PediatricPage\|ankle fracture}}
	==Background==		==Background==
	*More fractures and fewer sprains since physis is weaker than surrounding ligaments		*More fractures and fewer sprains since physis is weaker than surrounding ligaments

2023-03-22T20:03:11Z

Immobilization

← Older revision		Revision as of 20:03, 22 March 2023
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	===Immobilization===		===Immobilization===
	*If nondisplaced [[Splinting#Lower Extremity\|immobilize]], ortho follow up optional		*If nondisplaced [[Splinting#Lower Extremity\|immobilize]], ortho follow up optional
	*Short-~~Leg Posterior Splint~~		*[[Short-leg posterior splint]]

	==Disposition==		==Disposition==

2019-11-28T22:35:16Z

← Older revision		Revision as of 22:35, 28 November 2019
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	~~''For adult patients, see~~ [[ankle fracture]]''		{{peds top}} [[ankle fracture]]
	==Background==		==Background==
	*More fractures and fewer sprains since physis is weaker than surrounding ligaments		*More fractures and fewer sprains since physis is weaker than surrounding ligaments

2019-09-18T05:08:26Z

Management

← Older revision		Revision as of 05:08, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Immobilization===
	*If nondisplaced [[Splinting#Lower Extremity\|immobilize]], ortho follow up optional		*If nondisplaced [[Splinting#Lower Extremity\|immobilize]], ortho follow up optional
	*Short-Leg Posterior Splint		*Short-Leg Posterior Splint

2019-09-14T16:37:44Z

← Older revision		Revision as of 16:37, 14 September 2019
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			''For adult patients, see [[ankle fracture]]''
	==Background==		==Background==
	*More fractures and fewer sprains since physis is weaker than surrounding ligaments		*More fractures and fewer sprains since physis is weaker than surrounding ligaments

2018-03-19T18:07:27Z

Evaluation

← Older revision		Revision as of 18:07, 19 March 2018
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	*Salter-Harris III (25%)		*Salter-Harris III (25%)
	**Require open reduction of any displacement		**Require open reduction of any displacement
	*[[Tillaux ~~Fracture~~]]		*[[Tillaux fracture]]
	**Salter-Harris type III of the anterolateral portion of the distal tibia		**Salter-Harris type III of the anterolateral portion of the distal tibia
	***ATFL avulses off the distal tibia		***ATFL avulses off the distal tibia
	**May need oblique view to distinguish from triplane fracture		**May need oblique view to distinguish from triplane fracture
	**Usually requires surgical reduction		**Usually requires surgical reduction
	*[[Triplane ~~Fracture~~]]		*[[Triplane fracture]]
	**Medial portion of distal tibia growth plate closes before lateral aspect		**Medial portion of distal tibia growth plate closes before lateral aspect
	**While normal, this causes 18-month period of vulnerability until lateral aspect closes		**While normal, this causes 18-month period of vulnerability until lateral aspect closes

2018-03-14T17:51:30Z

← Older revision		Revision as of 17:51, 14 March 2018
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	**May need oblique view to distinguish from triplane fracture		**May need oblique view to distinguish from triplane fracture
	**Usually requires surgical reduction		**Usually requires surgical reduction
	*Triplane Fracture		*[[Triplane Fracture]]
	**Medial portion of distal tibia growth plate closes before lateral aspect		**Medial portion of distal tibia growth plate closes before lateral aspect
	**While normal, this causes 18-month period of vulnerability until lateral aspect closes		**While normal, this causes 18-month period of vulnerability until lateral aspect closes

2017-02-17T19:58:52Z

Background

← Older revision		Revision as of 19:58, 17 February 2017
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	*More fractures and fewer sprains since physis is weaker than surrounding ligaments		*More fractures and fewer sprains since physis is weaker than surrounding ligaments
	*Usually [[Salter Harris\|Salter-Harris]] I or II		*Usually [[Salter Harris\|Salter-Harris]] I or II
	**~~See if~~ assumed Salter-Harris Type I, see [[radiograph-negative ankle injury (peds)]]		**If assumed Salter-Harris Type I, see [[radiograph-negative ankle injury (peds)]]

	==Clinical Features==		==Clinical Features==

2017-02-17T19:13:40Z

Types

← Older revision		Revision as of 19:13, 17 February 2017
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	*Salter-Harris I		*Salter-Harris I
	**See [[radiograph-negative ankle injury (peds)]]		**See [[radiograph-negative ankle injury (peds)]]
	**Salter-Harris II		*Salter-Harris II
	***Removable ankle brace<ref>. Boutis K, Willan AR, Babyn P, Narayanan UG, Alman B, Schuh S. A randomized, controlled trial of a removable brace versus casting in children with low-risk ankle fractures. Pediatrics. 2007;119(6): e1256-e1263.</ref>		**Removable ankle brace<ref>. Boutis K, Willan AR, Babyn P, Narayanan UG, Alman B, Schuh S. A randomized, controlled trial of a removable brace versus casting in children with low-risk ankle fractures. Pediatrics. 2007;119(6): e1256-e1263.</ref>
	*Salter-Harris III (25%)		*Salter-Harris III (25%)
	**Require open reduction of any displacement		**Require open reduction of any displacement

2017-02-17T17:39:53Z

References