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    Go to the top of the page   ID: 20030314112341 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Extended triplane I fracture
    Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030314112341


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper (Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    15 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Leg-Bones  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    15 year-old boy, findings after a skateboard accident, torsion-bending trauma of the right distal lower leg, strong swelling, pain and hematoma.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Distal lower leg a.p. : splintered spiral fracture of the distal third of the fibula. Fracture gap in the epiphysial mid-section of the tibia without development of a step.







    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Distal lower leg lateral: Depiction of a small meta-epiphysial fragment dorsolaterally in the sense of a transitory fracture.







    X-Ray 3 <- view X-Ray 3

    X-Ray 3: X-Ray fluoroscopy. Better depiction of the fragment in diagonal rays. Step development.







    CT 1 <- view CT 1

    CT 1: Larger epiphysial fragment laterally, gaping fracture gap, incomplete fracture of the epiphysis in a 90° angle to the main fracture.




    CT 2 <- view CT 2

    CT 2: CT futher proximally, Depiction of 2 metaphysial fragments in the sense of a triplane I fracture.




    CT 3 <- view CT 3

    CT 3: CT-Findings postoperatively after screw fixation.




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Imaging including endoscopy  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After inital diagnostics with conventional x-ray and further vagueness about the course of fracture, depiction through CT. Surgical treatment with screw fixation.
    Intrapoerativally, the fracture gap in the tibial articulation was difficult to assess, therefore postoperative follow-up CT.  

     
     Pediatric Radiology CasesComments of the author about the case:

    Because of the second line of fracture, the situation of an "incomplete double triplane I fracture" arises.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Laer,L., Ch.Lampert
    Epiphysenfrakturen der distalen Tibia
    Operat Orthop Traumatol 4 (1992) 100  

     
     Pediatric Radiology CasesKeywords:

    Triplane I fracture, epiphysial fracture, leg pain, leg trauma, ankle, extended, triplane I fracture, extended triplane I fracture, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030314112341  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Leg-Bones
    or in the region: Leg
    or in the tissue/organ: Bones
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     
    Extended triplane I fracture
    Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030314112341


     

    Search similar cases in:
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    Extended triplane I fracture
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   

    Extended triplane I fracture  
     
    Extended triplane I fracture
    Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030314112341


     

    Which diagnosis have other collegues guessed?


    • Triplane I fracture
      Votes: 5 (45 %)


    • Aitken I fracture
      Votes: 1 (9 %)


    • Aitken II fracture
      Votes: 1 (9 %)


    • Aitken III fracture
      Votes: 4 (36 %)



        Total answers: 11

     
    Extended triplane I fracture
    Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030314112341


     

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    Extended triplane I fracture
    Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030314112341


     




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