The Orthobullets Podcast Pediatrics⎪Ankle Fractures - Pediatric
Mar 10, 2020
Discover the intricacies of pediatric ankle fractures, from their incidence and risk factors to unique anatomic considerations. Dive into the various fracture classifications and understand the mechanisms that lead to these injuries. Learn about clinical presentations, imaging techniques, and whether to opt for nonoperative or operative care. Explore the implications of growth arrest, manage angular deformities, and gain insight through practical questions designed to solidify your understanding of this crucial topic.
AI Snips
Chapters
Transcript
Episode notes
Ligament Anatomy Explains Transitional Fractures
- Ligament origins at the ankle lie distal to the physes and include medial (deltoid), lateral, and syndesmosis complexes. AITFL and PITFL attachments explain transitional fracture patterns like Tillaux and triplane injuries.
Salter-Harris Types And Arrest Risk
- Salter-Harris I–V types each have distinct patterns and risks; types III and IV (medial malleolus, triplane) carry higher physeal arrest risk. Type V crush and type VI perichondral injuries are rare but have high missed-diagnosis and arrest potential.
Image Early And Use CT For Articular Assessment
- Obtain AP, mortise, and lateral radiographs and use CT post-reduction to assess articular step-off for operative planning. Non-displaced fractures (<2 mm) can be immobilized; displaced fractures need reduction and possible fixation per alignment criteria.