![]() Check your pulse at key points of the foot to be sure that there is a good blood supply to your foot and ankle.In some cases, nerves may be injured at the same time that the bone is broken. Check to see if you can move your toes and feel things throughout your foot.Examine your lower leg and ankle, looking for cuts from the injury and gently pushing on different areas to see if it hurts.Physical ExaminationĪfter discussing your symptoms and medical history, your doctor will perform a careful examination. If their injuries cause significant blood loss, it could lead to shock - a life-threatening condition that can result in organ failure. These patients may also have additional injuries to the head, chest, abdomen, or legs. Patients with high-energy fractures will almost always go to an urgent care center or emergency room for initial treatment because of the severity of their symptoms. Because of the energy required to cause a pilon fracture, patients may have other injuries that require treatment as well. ![]() In most cases, surgery is needed to restore the damaged bone to its normal position. In many pilon fractures, the bone may be crushed or split into several pieces due to the high-energy impact that caused the injury. Pilon is the French word for "pestle" - an instrument used for crushing or pounding. Pilon fractures are often severe injuries that can permanently affect the ankle joint. A pilon fracture typically occurs as the result of a high-energy event, such as a car collision or fall from a height. With this type of injury, the other bone in the lower leg, the fibula, is frequently broken as well. To find in-depth information on ankle fractures, please read Ankle Fractures (Broken Ankle).Ī pilon fracture is a type of break that occurs at the bottom of the tibia (shinbone) and involves the weight-bearing surface of the ankle joint. This is particularly helpful in the distal tibia when the plain film can under-estimate the complexity and severity of a distal tibial injury.This article addresses pilon fractures-a specific type of fracture that occurs in the lower leg near the ankle. Lucent fracture line extending through the metaphysis, across physis, and into the epiphysisĪngulation, displacement, and rotation may occurĪdjacent soft tissue swelling and joint effusion may be notedĬT may be helpful to further assess the nature of the fracture. Salter-Harris type IV injuries will often follow typical location patterns and most commonly involve the distal radius, phalanges, and distal tibia. EpidemiologyĪpproximately 10-12% of all physeal fractures will be a Salter-Harris type IV fracture. Salter-Harris IV injuries typically have a poor prognosis due to interruption of the proliferative and reserve cartilage zones often leading to altered joint mechanics and functional impairment and as such orthopedic evaluation and subsequent operative intervention are often required 1,2. Salter-Harris fractures are a group of childhood injuries where a fracture involves the physis. They are intra-articular injuries in which the fracture extends through the epiphysis, across the physis, and through the metaphysis. Salter-Harris type IV fractures are relatively uncommon injuries that occur in children.
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