Tillaux fractures are traumatic ankle injuries that most often affect older adolescents. They typically occur in children between 12 and 14 years old as they reach skeletal maturity.

Tillaux fractures account for 3-5% of all pediatric ankle fractures.

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What are the signs and symptoms of a Tillaux fracture?

  • Pain
  • Swelling
  • Inability to bear weight

What causes a Tillaux fracture?

Tillaux fractures usually occur through low-velocity trauma. Examples include skateboard accidents or sliding injuries from sports like baseball.

How are Tillaux fractures diagnosed?

  • Physical exam
  • X-rays
  • Additional imaging if necessary:
    • Computed tomography (CT) scan

How are Tillaux fractures treated?

Treatment depends on the extent of your child’s injury. Non-surgical treatment can be effective if the displacement is less than 2mm. This involves a closed reduction, followed by immobilization in a cast.

Surgery is often recommended for displacement greater than 2mm.

Doctors at Connecticut Children’s can help determine the right plan to treat your child’s Tillaux fracture.