{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T15:11:03Z","timestamp":1778685063710,"version":"3.51.4"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Tillaux fractures are Salter\u2013Harris type III injuries of the anterolateral distal tibial epiphysis seen in adolescents. Entrapment of the Tillaux fragment within the syndesmosis is rare and may lead to an irreducible ankle fracture-dislocation.\n\nCase Report: A 13-year-old girl sustained an ankle fracture\u2013dislocation following an external rotation injury. Imaging revealed a displaced Tillaux fracture with an associated posterior malleolus fracture. Closed reduction was unsuccessful. Open reduction revealed incarceration of the Tillaux fragment within the syndesmosis, preventing reduction of the talus. Removal and anatomical fixation of anterior and posterior malleolar fragments restored syndesmotic stability. The patient achieved full functional recovery.\n\nConclusion: In adolescents, failure of closed reduction of ankle fracture\u2013dislocation should raise a suspicion of an entrapped Tillaux fragment. Computed tomography evaluation and anatomical fixation are essential for restoring joint congruency and preventing long-term complications.\n\nKeywords: Ankle fracture\u2013dislocation, Tillaux fracture, posterior malleolus fracture, syndesmotic injury.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i05.7224","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T14:24:18Z","timestamp":1778682258000},"page":"117-121","source":"Crossref","is-referenced-by-count":0,"title":["A Displaced and Entrapped Anterior Malleolus (Tillaux Fragment) Causing an Irreducible Syndesmosis and Ankle Fracture\u2013Dislocation in an Adolescent: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Ameya H","family":"Velankar","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, MGM Institute of Health Sciences, Navi-Mumbai, Maharashtra, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sampat","family":"Dumbre Patil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sahyadri Super Speciality Hospital, Pune, Maharashtra, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaishali","family":"Dumbre Patil","sequence":"additional","affiliation":[{"name":"Department of Radiologist, Oasis Orthopaedic and Sonography Clinic, Pune, Maharashtra, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T14:24:19Z","timestamp":1778682259000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/05\/a-displaced-and-entrapped-anterior-malleolus-tillaux-fragment-causing-an-irreducible-syndesmosis-and-ankle-fracture-dislocation-in-an-adolescent-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i05.7224","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}