Triplane fractures: do we need cross-sectional imaging?

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
D SchneidmuellerH Laurer

Abstract

Diagnosis of Triplane fractures remains difficult in common practice. Aim of the study was the evaluation of the fracture pattern and the benefit of cross-sectional imaging in classification of Triplane-fractures. A total of 27 pediatric patients treated for ankle fractures were identified from patient charts. Radiographic images of epiphyseal fractures (X-rays and additional cross-sectional imaging) were blinded evaluated by 13 observers to answer a specific questionnaire regarding type or fracture and treatment suggestion. There were seven Triplane-I and eight Triplane-II fractures. The other physeal ankle fracture group consisted of four patients with a Twoplane-fracture, five Salter-and-Harris (SH) II, one SH-III, and two SH-IV fracture. Accuracy of classification improved considerably depending on the experience of the observer in pediatric trauma care. Surgeons specialized in pediatric trauma care classified correctly with conventional X-rays in 48.1 % of all cases presented versus 31.5 % appropriate diagnosis by younger fellows. Accuracy in exact specification of Triplane-fractures was comparable lesser in younger fellows (31.1 vs. 22 %). Cross-sectional imaging improved classification of all fractures in both groups (75...Continue Reading

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Citations

Jun 1, 2016·Der Unfallchirurg·D SchneidmuellerV Bühren
Oct 14, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M VothI Marzi
Jun 20, 2018·The Journal of Bone and Joint Surgery. American Volume·Matthew J HadadPaul D Sponseller
Jun 11, 2020·European Journal of Medical Research·Thomas RauerFlorin Allemann
May 2, 2020·Pediatric Emergency Care·Matthew Solove, Frances Turcotte Benedict
Aug 14, 2020·Der Unfallchirurg·Dorien SchneidmuellerDirk Sommerfeldt
Feb 12, 2021·Indian Journal of Orthopaedics·K VenkatadassS Rajasekaran

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