A 48 year old male fell from a ladder landing on his right foot. He has an obvious ankle deformity. What's the diagnosis? (scroll down for answer)
Answer: Pilon Fracture
The xray shows the pilon fracture as well as a comminuted displaced fracture of the dital fibula and tibiotalar and fibulotalar dislocations
A pilon fracture is a fracture of the disal tibia involving its articular surface
The mechanism of injury is most often a high energy axial load
Most pilon fractures require ORIF
Weiers, A. Haller P. (2020). Leg Injuries. Tintinalli J.E., & Ma O, & Yealy D.M., & Meckler G.D., & Stapczynski J, & Cline D.M., & Thomas S.H.(Eds.),Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e. McGraw-Hill.