The rare isolated adult Chaput-Tillaux fracture: two case reports and review of the literature

Authors

  • Eva Campos Pereira Department of Orthopaedics Hospital Central do Funchal Funchal
  • João Maia Rosa Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto
  • Sara Elisa Diniz Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto
  • Filipa Pereira Department of Orthopaedics, Hospital José Joaquim Fernandes, Beja
  • Rita Sapage Department of Orthopaedics, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real
  • Daniel Soares Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto
  • Luis Costa Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205575

Keywords:

Chaput-tillaux fracture, Isolated, Adults

Abstract

The authors present two isolated chaput-tillaux fractures in an adult skeleton. A high level of suspicion is required to prevent diagnostic failure. Computerized tomography scan detects hidden fractures and enables a more detailed preoperative assessment of each case. Most of the cases reported in the literature are associated with other ankle lesions. This typical juvenile pattern is rare in the adults and ideal treatment is yet to be determined.

 

Author Biographies

Eva Campos Pereira, Department of Orthopaedics Hospital Central do Funchal Funchal

Orthopaedics Department

João Maia Rosa, Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto

Orthopaedics Department

Sara Elisa Diniz, Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto

Orthopaedics Department

Filipa Pereira, Department of Orthopaedics, Hospital José Joaquim Fernandes, Beja

Orthopaedics Department

Rita Sapage, Department of Orthopaedics, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real

Orthopaedics Department

Daniel Soares, Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto

Orthopaedics Department

Luis Costa, Department of Orthopaedics, Centro Hospitalar e Universitário do Porto, Porto

Orthopaedics Department

References

Kumar N, Prasad M. Tillaux fracture of the ankle in an adult: a rare injury. J Foot Ankle Surg. 2014;53(6):757-758.

Köse Ö, Yuksel HY, Guler F, Ege T. Isolated Adult Tillaux Fracture Associated with Volkmann Fracture-A Unique Combination of Injuries: Report of Two Cases and Review of the Literature. J Foot Ankle Surg. 2016;55(5):1057-62.

Shetty S, Sasidharan B, Shetty S, Awadhani A. The Tillaux Fracture in Adult. J Orthop Surg Traumatol. 2017;1(3):114-7.

Ito K, Tanaka Y, Katsui R, Taniguchi A. Corrective Osteotomy for Malunion of a Tillaux-Chaput Fracture: A Case Report. Clin Med Case Rep. 2017;1:103.

Gómez JT, Bernal PC, Crespo FA. Fractura de Tillauxdel adulto: A propósito de un caso. Rev Pie Tobillo. 2012;26(2):43-6.

Marti CB, Kolker DM, Gautier E. Isolated adult Tillaux fracture: a case report. Am J Orthop. 2005;34:337-9.

Oak NR, Sabb BJ, Kadakia AR, Irwin TA. Isolated adult Tillaux fracture: a report of two cases. J Foot Ankle Surg. 2014;53(4):489-92.

Mishra PK, Patidar V, Singh SP. Chaput Tubercle Fracture in an Adult- A Rare Case Report. J Clin Diagn Res. 2017;11(3):RD01-2.

Duchesneau S, Fallat LM. The Tillaux Fracture. J Foot Ankle Surg.1996;35(2):127-33.

Sferopoulos NK. Common Errors Related to the Tillaux Fracture. Res Rev Orthop. 2018;2(2):10-3.

Patel A, Shur V. Juvenile Tillaux ankle fracture pattern in a skeletally mature adult. The Foot. 2006;16:54-9.

Sharma B, Reddy IS, Meanock C. The adult Tillaux fracture: one not to miss. BMJ Case Rep. 2013.

Lee C, Douglas TJ. Irreducible Ankle Fracture from an Interposed Chaput Fragment: A Case Report. JBJS Case Connect. 2017;7(2):e42.

Kuna S, Gudena R, Sanchez-Ballester J. Tillaux fracture in an adult. Eurorad. 2018. Case 7067.

Mansur H, Lima T, Goncalves C, Castro I. Adult Tillaux Fracture in Association with Volkmann and Maisonneuve Fratures: A Case Report. J Am Podiatr Med Assoc. 2019;109(6):477-81.

Haapamaki VV, Kiuru MJ, Koskinen SK. Am J Roentgenol. Ankle and Foot Injuries: Analysis of MCDT Findings. 2004;183(6):615-22.

Nelson OA. Examination and Repair of the AITFL in Transmalleolar Fractures. J Orthop Trauma. 2006;20(9):637-43.

Mak MF, Gartner L, Pearce CJ. Management of Syndesmosis Injuries in the Elite Athlete. Foot Ankle Clin N Am. 2013;18:195-214.

Feng SM, Sun QQ, Wang AG, Li CK. All-Inside Arthroscopic Treatment of Tillaux-Chaput Fractures: Clinical Experience and Outcomes Analysis. J Foot Ankle Surg. 2018;57(1):56-9.

Chokkalingam S, Roy S. Adult Tillaux Fractures of Ankle: Case Report. Internet J Orthop Surg. 2006;6(1).

Black EM, Antoci V, Lee JT, Weaver MJ, Johnson AH, Susarla SM, Kwon JY. Role of Preoperative Computed Tomography Scans in Operative Planning for Malleolar Ankle Fractures. Foot Ankle Int. 2013;34(5):697-704.

Birnie MFN, Van Schilt KLJ, Sanders FRK, Kloen P, Schepers T. Anterior inferior tibiofibular ligament avulsion fractures in operatively treated ankle fractures: a retrospective analysis. Arch Orthop Trauma Surg. 2019;139(6):787-93.

Saad BN, Yingling JM, Liporace FA, Yoon RS. Pilon Fractures: Challenges and Solutions. Res Rev Orthop. 2019;11:149-57.

Liporace FA, Yoon RS, Kubiak EN, Parisi DM, Koval KJ, Feldman DS, Egol KA. Does Adding Computed Tomography Change the Diagnosis and Treatment of Tillaux and Triplane Pediatric Ankle Fractures? Orthopedics. 2012;35(2):e208-12.

Protas JM, Kornblatt BA. Fractures of the Lateral Margin of the Distal Tibia. Radiology. 1981;138:55-7.

Miller MD. Arthroscopically Assisted Reduction and Fixation of an Adult Tillaux Fracture of the Ankle. J Art Relat Surg. 1997;13(1):117-9.

McAlister JE, So E. Keys to Deltoid Ligament Repair After Ankle Fracture. Podiatry Today. 2018;31(10):44-52.

Downloads

Published

2020-12-23