Pilon fracture: Difference between revisions
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==Background== | ==Background== | ||
*Axial loading injury that drives tibial plafond (French for ceiling) into talar dome | *Axial loading injury that drives tibial plafond (French for ceiling) into talar dome | ||
**"Pilon" is another word for pestle, a tool used to grind substance in a mortar | **"Pilon" is another word for pestle, a tool used to grind substance in a mortar | ||
*Also known as a tibial plafond fracture | *Also known as a tibial plafond fracture | ||
==Clinical Features== | |||
==Differential Diagnosis== | |||
{{Distal leg fractures DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
[[File:Pilon fracture.jpg|thumb|Pilon Fracture]] | |||
*Suspect other fractures as well: | *Suspect other fractures as well: | ||
**Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum, | **Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum, | ||
*Monitor for compartment syndrome | *Monitor for compartment syndrome | ||
==Imaging== | ===Imaging=== | ||
*CT necessary to reveal amount of articular surface displacement/develop treatment plan | *CT necessary to reveal amount of articular surface displacement/develop treatment plan | ||
==Management== | ==Management== | ||
| Line 24: | Line 26: | ||
*[[Ankle (Main)]] | *[[Ankle (Main)]] | ||
== | ==References== | ||
*Tintinalli | *Tintinalli | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 23:26, 10 November 2015
Background
- Axial loading injury that drives tibial plafond (French for ceiling) into talar dome
- "Pilon" is another word for pestle, a tool used to grind substance in a mortar
- Also known as a tibial plafond fracture
Clinical Features
Differential Diagnosis
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Diagnosis
- Suspect other fractures as well:
- Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
- Monitor for compartment syndrome
Imaging
- CT necessary to reveal amount of articular surface displacement/develop treatment plan
Management
- Long leg posterior splint
- Consult ortho for surgery
See Also
References
- Tintinalli