Isolated adult tillaux fracture: A report of two cases

Nikhil R. Oak, Brian J. Sabb, Anish R. Kadakia, Todd A. Irwin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


A fracture of the lateral margin of the distal tibia has commonly been called a Tillaux fracture, which is an avulsion-type fracture that can result from the pull of the anterior inferior tibiofibular ligament. The common mechanism of injury described and observed has been one of external rotation of the foot relative to the tibia. Historically, this fracture pattern has been noted in the pediatric and adolescent populations and classified as a Salter-Harris III fracture through the epiphysis. It has typically occurred in children aged 12 to 14years and is not commonly seen in adults. We discuss 2 cases of isolated Tillaux fractures in skeletally mature adults, aged 47 and 37years, a population in which this fracture pattern to our knowledge and after review of the published data has not been described. It is important to recognize these distinct injuries and appropriately treat the pathologic features to prevent further instability and arthritis.

Original languageEnglish (US)
Pages (from-to)489-492
Number of pages4
JournalJournal of Foot and Ankle Surgery
Issue number4
StatePublished - Jul 2014


  • Ankle fracture
  • Diagnosis
  • Open reduction
  • Radiograph
  • Syndesmotic injury
  • Tibiofibular ligaments

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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