RT Journal
A1 Blackburn, Ethan W.
A1 Aronsson, David D.
A1 Rubright, James H.
A1 Lisle, Jennifer W.
T1 Ankle Fractures in Children
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2012
FD July 3
VO 94
IS 13
SP 1234
OP 1244
DO 10.2106/JBJS.K.00682
UL http://dx.doi.org/10.2106/JBJS.K.00682
AB Computed tomography is useful for preoperative planning and postreduction assessment for intra-articular pediatric ankle fractures.Nondisplaced pediatric ankle fractures can be effectively managed with cast immobilization and close radiographic follow-up evaluation.Physeal ankle injuries in younger children with considerable growth remaining should be followed closely for at least one year after injury as growth arrest may result in substantial angular deformity.Open reduction and internal fixation should be strongly considered when an articular step-off of <2 mm cannot be maintained by closed means for Salter-Harris type-III and IV and transitional ankle fractures.