Test 6

  • Michael Paddock
  • Amaka C. Offiah


A Salter-Harris 3 fracture through the lateral aspect of the distal tibial epiphysis is known as a Tillaux fracture (after the French surgeon and anatomist). In these injuries which occur in older children and adolescents, the medial aspect of the distal tibial epiphysis has fused and is not involved. This fracture is associated with an avulsion of the anterior tibiofibular ligament following an abduction-external rotation mechanism of injury.


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Further Reading

Image 1

  1. Lukies M, Gaillard F et al (2018) Tillaux fracture. Accessed May 2018
  2. Smithius R (2018) Ankle – special fracture cases. Detection of ‘not so obvious’ fractures. Accessed July 2018
  3. Weerakkody Y, Gaillard F et al (2018) Triplane fracture. Accessed May 2018

Image 5

  1. Bell DJ, Skorupka K et al (2018) Vertebra plana. Accessed May 2018
  2. Wheeless CR (2012) Eosinophilic Granuloma of the Spine. Accessed May 2018

Image 9

  1. Jones J, Bronson R et al (2018) Medial epicondyle fracture. Accessed May 2018
  2. Jones J et al (2018) Ossification centres of the elbow. Accessed May 2018
  3. Smithuis R (2018) Elbow – fractures in children. Accessed June 2018
  4. St-Amant M, Gaillard F et al (2018) Elbow ossification mnemonic. Accessed May 2018

Image 11

  1. Jones J et al (2018) Anterior humeral line. Accessed July 2018

Image 13

  1. Hacking C, Salam H et al (2018) Generalised increased bone density in children. Accessed May 2018
  2. Ihde LL, Forrester DM, Gottsegen CJ et al (2011) Sclerosing bone dysplasias: review and differentiation from other causes of osteosclerosis. Radiographics 31(7):1865–1882CrossRefGoogle Scholar
  3. Sharma R, Dixon A et al (2018) Pyknodysostosis. Accessed May 2018

Image 14

  1. Kang O, Gaillard F et al (2018) Solitary lucent skull lesion. Accessed May 2018
  2. Sharma R, St-Amant M et al (2018) Leptomeningeal cyst. Accessed May 2018

Image 16

  1. Gaillard F et al (2018) Left lower lobe collapse. Accessed May 2018

Image 18

  1. Bickle I et al (2018) Haematometrocolpos. Accessed May 2018

Images 19 and 29

  1. See the references for Test 4, Image 13Google Scholar

Image 20

  1. Batta NS, Dixon A et al (2018) Trampoline fracture. Accessed June 2018
  2. Bruyeer E, Geusens E, Catry F et al (2012) ‘Trampoline fracture’ of the proximal tibia in children: report of 3 cases and review of literature. JBR-BTR 95(1):10–12PubMedGoogle Scholar
  3. Dorman S, Jariwala A, Campbell D (2013) Cozen’s phenomenon: a reminder. Scott Med J 58(3):e10–e13CrossRefGoogle Scholar
  4. Knipe H, Teng J et al (2018) Cozen fracture. Accessed June 2018

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael Paddock
    • 1
  • Amaka C. Offiah
    • 2
  1. 1.Sheffield Teaching HospitalsSheffieldUK
  2. 2.Academic Unit of Child Health, Department of Oncology and MetabolismUniversity of SheffieldSheffieldUK

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