Fracture du Tubercule Tillaux chez un adulte de 40 ans

Abstract

La fracture isolée du tubercule de Tillaux est très rare, réalisant une avulsion du ligament tibio-fibulaire antérieur à l'origine d'une instabilité tibio-fibulaire infé-rieure. La fracture de Tillaux de l'enfant lui est assimilée et représente un traumatisme du cartilage de conjugaison stade 3. Nous rapportons une nouvelle observation chez un patient de 40 ans traité chirurgicalement avec une bonne évolution. Mots clés : Cheville -Fracture -Tubercule de TillauxTillaux Fracture in a forty-year old adult Abstract: The Tillaux fracture is very rare in child. Moreover, it is exceptional at the adult age. It occurs with an avulsion of the tibiofibular anterior ligament resulting in a tibiofibular inferior instability. The Tillaux fracture in child is treated as equivalent and consists in a lesion of the epiphyseal cartilage stage 3. The surgical treatment is essential in case of larger displacements. We report a Tillaux fracture of a forty-year old patient, which was fixed surgically, with good evolution.

Tillaux fracture in adults – Case report and review of literature

“…Feng et al in 2018 8 However, as in our case, previous studies reporting open reduction, did not report evidence of complications or infection. 2,9,10,11,6,5,4,12,3,13 Regarding X-ray assessment of articular alignment in closed reduction versus intraarticular direct surface assessment in open reduction, no evidences of poor functional mid-term outcomes have been reported.…”

Ankle fracture associated with a tillaux fracture in adults - A case report

“…Malleolar fractures are commonly encountered in common orthopedic surgery, they are generally secondary to a high energy trauma; but, the fracture of tillaux tubercle in adults is very rare [1] It is accompanied with a detachment of the anterior tibiofibular ligament, which is posteriorly responsible for a lower tibio-fibular instability [2]. This pathological entity corresponds to an epiphyseal detachment stage 3 in children according to Salter and Harris [3,4].…”