Pronation injuries of the ankle in children. Retrospective study of radiographical classification and treatment

Acta Orthopaedica Scandinavica
J KärrholmS Laurin

Abstract

In a retrospective study in children aged 0-18 years, 457 ankle fractures in children were classified traumatologically according to Gerner-Smidt or Lauge-Hansen. Anatomically, ankle fractures with open growth plates were classified according to the Salter-Harris classification. Pronation injuries constituted 18% of the ankle injuries and showed different fracture patterns. In total 83 pronation injuries were found. Of these, 52 showed open growth plates: 25 pronation-abduction, 23 pronation-eversion, and 4 pronation-dorsal flexion injuries. The pronation-abduction injuries were classified into two groups. In 15, a detachment of the deltoid ligament at the medial malleolus, visible on radiographs as a minimal fragment or transverse fracture of the medial malleolus, was found; seven showed in addition a fracture through the growth plate (Salter-Harris type I or II) or a metaphyseal fracture of the distal fibula. In 10, a physeal fracture through the distal tibia (Salter-Harris type I) was found. Of these, seven had in addition a metaphyseal fibular fracture. Pronation-eversion injuries showed in 21 cases a physeal-metaphyseal fracture (Salter-Harris type II) with an antero-lateral metaphyseal fragment (Stage I-II); 17 had in add...Continue Reading

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Citations

Mar 25, 2009·Journal of Children's Orthopaedics·Robert Jay Cummings
Apr 1, 1994·Seminars in Roentgenology·R H Daffner
Jun 28, 2006·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·S PannierC Glorion
Sep 30, 2005·IEEE Transactions on Bio-medical Engineering·John Yannis GoulermasPeter Bowker
Jan 16, 1999·Journal of Pediatric Orthopedics·K J BozicJ R Kasser
Jan 1, 1987·Annals of the New York Academy of Sciences·R Peck
May 1, 1988·Current Eye Research·D Abi-Hanna, D Wakefield
Dec 4, 2019·Skeletal Radiology·Christy B Pomeranz, Roger J Bartolotta

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