CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0042-1743270
Relato de Caso

Isolated Tillaux Fracture in Adults – Literature Review Based on a Rare Case Report

Article in several languages: português | English
1   Departamento de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
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1   Departamento de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
,
1   Departamento de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
,
1   Departamento de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
,
1   Departamento de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
,
1   Departamento de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
› Author Affiliations

Abstract

Isolated Tillaux fracture is a rare anterolateral distal tibia fracture frequently misdiagnosed in adults. It typically occurs in adolescents nearing skeletal maturity by avulsion of the anterior-inferior tibiofibular ligament. This case-based literature review study aims to elicit the existing information regarding this fracture in adults, and summarize its injury mechanism, diagnosis, and treatment procedures. According to the literature, this is only the eighth case described: a 46-year-old woman that suffered an isolated Tillaux fracture with 4 mm of displacement, and open reduction and fixation with double cannulated screws were performed. After proper rehabilitation, an excellent functional and radiological outcome was reached. It is important to recognize and appropriately treat these distinct injuries to prevent further instability, degenerative changes, and ankle joint function limitation. Early diagnosis and appropriate osteosynthesis play a significant role in a successful recovery prognosis.

Financial Support

This study received no financial support from public, commercial or non-profit sources.


This work was developed at the Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.




Publication History

Received: 23 May 2021

Accepted: 03 January 2022

Article published online:
11 March 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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