Salter-Harris type IV fractures are relatively uncommon injuries that occur in children. They are intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis. Salter-Harris fractures are a group childhood injuries where a fracture involves the physis.

What is a triplane fracture?

Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes.

Is a triplane fracture open or closed?

Triplane ankle fractures are distal tibia physeal fractures that occur in children from 10 to 17 years of age. The physis ossifies in a predictable order, and transitional ankle fractures occur in this period of incomplete physeal closure.

How do you fix a triplane fracture?

Open reduction and internal fixation (ORIF) is performed for a triplane fracture demonstrating 2 mm or more of displacement after attempted closed reduction. The surgical approach depends on the fracture planes and can be anterolateral for lateral fractures or anteromedial for medial fractures.

What is a right ankle triplane fracture?

Triplane fracture of the ankle is a known injury occurring in adolescents due to asymmetric closure of the distal tibial epiphysis [1]. It is a period of around 12-18 months when the distal tibial physis closure progresses from central to medial and then to the lateral side.

What is a cotton fracture?

Cotton fracture is a fracture of the ankle involving the lateral malleolus, medial malleolus and distal posterior aspect of the tibia (posterior malleolus). [ aka *trimalleolar fracture ] Cotton fracture (trimalleolar fracture)

What was a biplane used for?

Biplanes predominated in military and commercial aviation from World War I through the early 1930s, but the biplane’s greater maneuverability could not offset the speed advantage of the lighter monoplane. After World War II, biplanes were used only for special purposes: crop dusting and sport (aerobatic) flying.

Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. Diagnosis can be made with plain radiographs of the ankle.

What is Salter 3rd fracture?

Salter III (Lower) This is an intra-articular fracture extending from the physis into the epiphysis. If the fracture extends the complete length of the physis, this type of fracture may form two epiphyseal segments. Since the epiphysis is involved, damage to the articular cartilage may occur.

What is the most common plane of fracture on an AP?

1 • Most common 2 • Epiphyseal fracture occurs in the sagittal plane 3 • Physeal fracture occurs in the axial plane 4 • Metaphyseal fracture occurs in the coronal plane 5 • Similar to tillaux fractures on AP radiographs (distinguish from tillaux fractures by SH II or I fracture on lateral… More