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Fractures of the Posterior and Anterior Tibial Margins

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Traumatic Disorders of the Ankle

Abstract

Fracture of the dorsal aspect of the distal tibia can occur in association with any of the described fracture mechanisms [20] and possibly, in rare instances, as an isolated phenomenon (Fig. 13.7) [44]. Generally, these fractures occur in association with external rotation or abduction injuries and involve the lateral aspect of the dorsal tibia (Fig. 13.1A). Much less commonly, dorsal fractures are encountered with stage II supinationadduction injuries when the talus has subluxated medially; in this situation, the fracture tends to involve the medial aspect of the dorsal tibia (Fig. 13.1B), and occasionally the fragment remains attached to the fractured medial malleolus (Fig. 13.2).

Fractures of the posterior tibial margin. A Dorsolateral fragment. B Dorsomedial fragment, extending into medial malleolus.

A, B Axial tomography demonstrating distinct dorsolateral and dorsomedial fractures of the tibial margin. Dorsomedial fragment is continuous with the posterior colliculus of the medial malleolus.(B)

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Authors
  1. William C. Hamilton
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Editors and Affiliations

  1. Jefferson Medical College of Thomas Jefferson University, 342 Lankenau Medical Building, Philadelphia, PA, 19151, USA

    William C. Hamilton M.D. (Clinical Assistant Professor of Orthopaedic Surgery) (Clinical Assistant Professor of Orthopaedic Surgery)

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© 1984 Springer-Verlag New York Inc.

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Hamilton, W.C. (1984). Fractures of the Posterior and Anterior Tibial Margins. In: Hamilton, W.C. (eds) Traumatic Disorders of the Ankle. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8233-1_13

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  • DOI: https://doi.org/10.1007/978-1-4613-8233-1_13

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8235-5

  • Online ISBN: 978-1-4613-8233-1

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