Pilon fracture: Difference between revisions
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==Background== | ==Background== | ||
*High energy axial loading injury that drives tibial plafond (French for ceiling) into | *High energy axial loading injury that drives tibial plafond (French for ceiling) into talar dome | ||
**Motor vehicle accidents, falls from height | **Motor vehicle accidents, falls from height | ||
**"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 | ||
Revision as of 17:12, 14 March 2018
Background
- High energy axial loading injury that drives tibial plafond (French for ceiling) into talar dome
- Motor vehicle accidents, falls from height
- "Pilon" is another word for pestle, a tool used to grind substance in a mortar
- Also known as a tibial plafond fracture
Clinical Features
- Ankle pain/deformity
- Inability to bear weight
- Local tenderness to palpation
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
Evaluation
- 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