Pilon fracture
Background
- Axial loading injury that drives tibial plafond 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
Diagnosis
- Suspect other fractures as well:
- Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
- Watch for compartment syndrome
Imaging
- CT necessary to reveal amount of articular surface displacement/develop treatment plan
See Also
Source
- Tintinalli