Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Case 82 Clubfoot
- Case 83 Developmental dysplasia of the hip
- Case 84 Legg–Calve–Perthes disease
- Case 85 Slipped capital femoral epiphysis
- Case 86 Langerhans cell histiocytosis: MRI/PET for diagnosis and treatment monitoring
- Case 87 Congenital syphilis
- Case 88 Medial malleolus avulsion fracture
- Case 89 Triplane fracture
- Case 90 Fibrous dysplasia
- Case 91 Chest wall sarcoma
- Case 92 Campomelic dysplasia
- Case 93 Type II collagenopathy (hypochondrogenesis)
- Case 94 Morel-Lavallée lesions
- Case 95 Infantile myofibromatosis
- Case 96 Osteochondritis dissecans of the capitellum
- Index
- References
Case 89 - Triplane fracture
from Section 9 - Musculoskeletal imaging
Published online by Cambridge University Press: 05 June 2014
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Case 82 Clubfoot
- Case 83 Developmental dysplasia of the hip
- Case 84 Legg–Calve–Perthes disease
- Case 85 Slipped capital femoral epiphysis
- Case 86 Langerhans cell histiocytosis: MRI/PET for diagnosis and treatment monitoring
- Case 87 Congenital syphilis
- Case 88 Medial malleolus avulsion fracture
- Case 89 Triplane fracture
- Case 90 Fibrous dysplasia
- Case 91 Chest wall sarcoma
- Case 92 Campomelic dysplasia
- Case 93 Type II collagenopathy (hypochondrogenesis)
- Case 94 Morel-Lavallée lesions
- Case 95 Infantile myofibromatosis
- Case 96 Osteochondritis dissecans of the capitellum
- Index
- References
Summary
Imaging description
A 12-year-old female presented with a history of injury to the left ankle. An AP radiograph of the left ankle demonstrated a fracture in the distal lateral metaphysis of the left tibia with associated widening at the lateral aspect of the physis and probable epiphyseal fracture also, suggesting a Salter–Harris type IV fracture (Fig. 89.1a). The lateral radiograph more clearly demonstrated an extension of the fracture into the epiphysis (Fig. 89.1b), suggesting a complex triplane Salter–Harris type IV fracture with the epiphysis fractured in the sagittal plane, the physis separated in the axial plane, and the metaphysis fractured in the coronal plane. A CT scan better demonstrated the extent of the fracture with an anterolateral bony fragment of the tibial epiphysis and intra-articular extension into the tibiofibular syndesmosis and tibiotalar joint (Fig. 89.1c). Coronal and sagittal CT reformats clearly demonstrated the fractures of the posterolateral metaphysis, anterolateral physis, and central epiphysis (Fig. 89.1d–f) with involvement of the tibial plafond. The intra-articular extension into the tibiotalar joint was characterized by wide separation of the epiphyseal fragments at the joint surface with a displaced anterolateral epiphyseal fragment. The medial malleolus was intact.
- Type
- Chapter
- Information
- Pearls and Pitfalls in Pediatric ImagingVariants and Other Difficult Diagnoses, pp. 362 - 364Publisher: Cambridge University PressPrint publication year: 2014