{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:14Z","timestamp":1783509314634,"version":"3.55.0"},"reference-count":16,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Tillaux fractures in adults are rare and, if unrecognized, can lead to ankle fracture healing complications, early progression of arthritis, and limited ankle movement caused by pain and degenerative changes. The Tillaux fracture was first described by Paul Tillaux as an external rotation injury of the ankle, involving an avulsion fracture of the distal anterolateral tibia. This fracture can be easily overlooked on plain radiographs in the adult. A high index of suspicion for this type of fracture pattern along with the use of computed tomographic scanning can help confirm the suspected diagnosis, rule out other tibial injuries, and provide more information on the best course of action. Historically, Tillaux fractures have been more common in adolescents because of the open tibial epiphyseal plate. Once the epiphyseal plate fully closes, skeletal maturity is achieved, thus making it extremely unusual for the anterior tibiofibular ligament to cause an avulsion fragment of the distal anterolateral tibia. Because of how uncommon this type of fracture is in adults, it has rarely been reported in our literature. We reviewed the literature and present a case report of this rare fracture injury.<\/jats:p>","DOI":"10.7547\/22-076","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T13:46:01Z","timestamp":1689601561000},"source":"Crossref","is-referenced-by-count":3,"title":["Tillaux Fracture Associated with Adult Ankle Fracture Injury"],"prefix":"10.3390","volume":"113","author":[{"given":"Alina T.","family":"Tran","sequence":"first","affiliation":[{"name":"Midwestern University, Arizona College of Podiatric Medicine, Glendale, AZ. Dr. Tran is now with Scripps Memorial Hospital Encinitas, Encinitas, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsi","family":"Nutter","sequence":"additional","affiliation":[{"name":"Kaiser Hospital Foundation, Department of Orthopaedic Surgery, South Sacramento, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Singleton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kaiser Permanente South Sacramento Medical Center, South Sacramento, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kaiser Permanente South Sacramento Medical Center, South Sacramento, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kaiser Permanente South Sacramento Medical Center, South Sacramento, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Bull Acad Med","first-page":"817","article-title":"Recherches cliniques et exp\u00e9rimentales sur les fractures mall\u00e9olaires","volume":"21","author":"Tillaux P","year":"1872","unstructured":"Tillaux P: Recherches cliniques et exp\u00e9rimentales sur les fractures mall\u00e9olaires. Bull Acad Med 21: 817, 1872."},{"key":"B2","series-title":"Rev Bras Ortop (Sao Paulo)","first-page":"399","article-title":"Missed Tillaux fracture and syndesmosis injury in adult: arthroscopic assisted reduction and fixation","volume":"56","author":"Oliveira N","year":"2021","unstructured":"Oliveira N, Pinho P, Baptista M, : Missed Tillaux fracture and syndesmosis injury in adult: arthroscopic assisted reduction and fixation. Rev Bras Ortop (Sao Paulo) 56: 399, 2021."},{"key":"B3","series-title":"J Foot Ankle Surg","first-page":"757","article-title":"Tillaux fracture of the ankle in an adult: a rare injury","volume":"53","author":"Kumar N","year":"2014","unstructured":"Kumar N, Prasad M: Tillaux fracture of the ankle in an adult: a rare injury. J Foot Ankle Surg 53: 757, 2014."},{"key":"B4","series-title":"J Foot Ankle Surg","first-page":"1057","article-title":"Isolated adult Tillaux fracture associated with Volkmann fracture\u2014a unique combination of injuries: report of two cases and review of the literature","volume":"55","author":"Kose O","year":"2016","unstructured":"Kose O, Yuksel HY, Guler F, : Isolated adult Tillaux fracture associated with Volkmann fracture\u2014a unique combination of injuries: report of two cases and review of the literature. J Foot Ankle Surg 55: 1057, 2016."},{"key":"B5","series-title":"Clin Med Case Rep","first-page":"103","article-title":"Corrective osteotomy for malunion of a Tillaux-Chaput facture: a case report","volume":"1","author":"Ito K","year":"2017","unstructured":"Ito K, Tanaka Y, Katsui R, : Corrective osteotomy for malunion of a Tillaux-Chaput facture: a case report. Clin Med Case Rep 1: 103, 2017."},{"key":"B6","series-title":"Internet J Orthop Surg","first-page":"1","article-title":"Adult Tillaux fractures of ankle: case report","volume":"6","author":"Chokkalingam S","year":"2006","unstructured":"Chokkalingam S, Roy S: Adult Tillaux fractures of ankle: case report. Internet J Orthop Surg 6: 1, 2006."},{"key":"B7","series-title":"JAPMA","first-page":"477","article-title":"Adult Tillaux fracture in association with Volkmann and Maisonneuve fractures: a case report","volume":"109","author":"Mansur H","year":"2019","unstructured":"Mansur H, Lima T, Goncalves C, : Adult Tillaux fracture in association with Volkmann and Maisonneuve fractures: a case report. JAPMA 109: 477, 2019."},{"key":"B8","series-title":"JBJS Case Connect","first-page":"e42","article-title":"Irreducible ankle fracture from an interposed Chaput fragment: a case report","volume":"7","author":"Lee C","year":"2017","unstructured":"Lee C, Douglas TJ: Irreducible ankle fracture from an interposed Chaput fragment: a case report. JBJS Case Connect 7: e42, 2017."},{"key":"B9","series-title":"J Clin Diag Res","first-page":"RD01","article-title":"Chaput tubercle fracture in an adult\u2014a rare case report","volume":"11","author":"Mishra PK","year":"2017","unstructured":"Mishra PK, Patidar V, Singh SP: Chaput tubercle fracture in an adult\u2014a rare case report. J Clin Diag Res 11: RD01, 2017."},{"key":"B10","series-title":"J Foot Ankle Surg","first-page":"489","article-title":"Isolated adult Tillaux fracture: a report of two cases","volume":"53","author":"Oak NR","year":"2014","unstructured":"Oak NR, Sabb BJ, Kadakia AR, : Isolated adult Tillaux fracture: a report of two cases. J Foot Ankle Surg 53: 489, 2014."},{"key":"B11","series-title":"BMJ Case Rep","first-page":"bcr2013200105","article-title":"The adult Tillaux fracture: one not to miss","volume":"2013","author":"Sharma B","year":"2013","unstructured":"Sharma B, Reddy IS, Meanock C: The adult Tillaux fracture: one not to miss. BMJ Case Rep 2013: bcr2013200105, 2013."},{"key":"B12","series-title":"Foot","first-page":"54","article-title":"Juvenile Tillaux ankle fracture pattern in a skeletally mature adult","volume":"16","author":"Patel A","year":"2006","unstructured":"Patel A, Shur V: Juvenile Tillaux ankle fracture pattern in a skeletally mature adult. Foot 16: 54, 2006."},{"key":"B13","series-title":"Orthopaed Surg Traumatol","first-page":"114","article-title":"The Tillaux fracture in adult","volume":"1","author":"Shetty S","year":"2017","unstructured":"Shetty S, Sasidharan B, Shetty S, : The Tillaux fracture in adult. Orthopaed Surg Traumatol 1: 114, 2017."},{"key":"B14","series-title":"Ortho J MPC","first-page":"95","article-title":"Tillaux fracture in adult: a case report","volume":"26","author":"Syed T","year":"2020","unstructured":"Syed T, Storey P, Rocha R, : Tillaux fracture in adult: a case report. Ortho J MPC 26: 95, 2020"},{"key":"B15","series-title":"Int J Res Orthop","first-page":"134","article-title":"The rare isolated adult Chaput-Tillaux fracture: two case reports and review of the literature","volume":"7","author":"Pereira EC","year":"2020","unstructured":"Pereira EC, Rosa JM, Diniz SE, : The rare isolated adult Chaput-Tillaux fracture: two case reports and review of the literature. Int J Res Orthop 7: 134, 2020."},{"key":"B16","series-title":"J Clin Orthop Trauma","first-page":"10189","article-title":"Tillaux fracture in adults\u2014case report and review of literature","volume":"27","author":"Mill\u00e1n-Billi A","year":"2022","unstructured":"Mill\u00e1n-Billi A, Fa-Binefa M, G\u00f3mez-Masdeu M, : Tillaux fracture in adults\u2014case report and review of literature. J Clin Orthop Trauma 27: 10189, 2022."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/3\/22-076.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/3\/22-076.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/3\/22-076.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:14Z","timestamp":1783505954000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/113\/3\/22076"}},"subtitle":["A Rare Case Report"],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":16,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.7547\/22-076","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}