Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Tillaux (SH-III) & Triplane (SH-IV) — Distal Tibial Transitional Fractures

Tillaux: Anterolateral epiphyseal avulsion (SH-III) during asymmetric physeal closure — intra-articular; >2 mm step needs fixation. Triplane: Multi-planar SH-IV variant (sagittal epiphysis, axial physis, coronal metaphysis); 2-, 3-, or 4-part patterns. CT delineates fragments to plan screw fixation; restore joint congruity to prevent arthritis.

Overview

Topic summary

View wiki
Tillaux: Anterolateral epiphyseal avulsion (SH-III) during asymmetric physeal closure — intra-articular; >2 mm step needs fixation. Triplane: Multi-planar SH-IV variant (sagittal epiphysis, axial physis, coronal metaphysis); 2-, 3-, or 4-part patterns. CT delineates fragments to plan screw fixation; restore joint congruity to prevent arthritis.
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the primary mechanism of injury leading to a Tillaux fracture?

Question 2

At what age range are Tillaux and triplane fractures most commonly observed?

Question 3

Which of the following statements is true regarding the radiological appearance of a Tillaux fracture?

Question 4

What is the Salter-Harris classification type of a Tillaux fracture?

Question 5

What is the critical measurement for determining the need for surgical intervention in Tillaux fractures?

Question 6

Which anatomical structure is primarily involved in the mechanism of a Tillaux fracture?

Question 7

What distinguishes a triplane fracture from a Tillaux fracture?

Question 8

Which imaging modality is most effective in delineating the fragments involved in a triplane fracture?

Question 9

Which aspect of the distal tibial physis is the last to fuse?

Question 10

What is the potential long-term consequence of untreated significant displacement in Tillaux or triplane fractures?