Background: In children, fracture non-union is uncommon yet, curiously, non-union of distal fibula fractures are rarely reported. Historically, the most common treatment of a lateral malleolus fracture after an ankle sprain is conservative, which usually leads to fracture union. However, even in clinically stable ankles, subsequent pain arising from fracture site could suggest non-union, thereby necessitating reexamination and possible secondary treatment. Case presentation: We report the case of an 8-year-old girl with an epiphyseal distal fibula fracture complicated with a symptomatic non-union associated with the chondral flap of the talar dome after conservative treatment. Surgical excision of the fragment and chondroplasty was performed and resulted in an excellent clinical outcome. Conclusion: This case report illustrates the necessity of particularly meticulous evaluation of pediatric post-traumatic ankle pain. Surgical treatment as well as talar chondral evaluation should be taken into consideration in the treatment of pediatric distal fibular nonunion.

Turati, M., Leone, G., Zanchi, N., Omeljaniuk, R., Brahim, L., Zatti, G., et al. (2020). Clinical presentation and surgical treatment of distal fibular non-union with talus chondral lesions in a pediatric patient: A case report. BMC SURGERY, 20(1), 125 [10.1186/s12893-020-00782-z].

Clinical presentation and surgical treatment of distal fibular non-union with talus chondral lesions in a pediatric patient: A case report

Turati, Marco
;
Leone, Giulio;Zanchi, Nicolò;Zatti, Giovanni;Bigoni, Marco
2020

Abstract

Background: In children, fracture non-union is uncommon yet, curiously, non-union of distal fibula fractures are rarely reported. Historically, the most common treatment of a lateral malleolus fracture after an ankle sprain is conservative, which usually leads to fracture union. However, even in clinically stable ankles, subsequent pain arising from fracture site could suggest non-union, thereby necessitating reexamination and possible secondary treatment. Case presentation: We report the case of an 8-year-old girl with an epiphyseal distal fibula fracture complicated with a symptomatic non-union associated with the chondral flap of the talar dome after conservative treatment. Surgical excision of the fragment and chondroplasty was performed and resulted in an excellent clinical outcome. Conclusion: This case report illustrates the necessity of particularly meticulous evaluation of pediatric post-traumatic ankle pain. Surgical treatment as well as talar chondral evaluation should be taken into consideration in the treatment of pediatric distal fibular nonunion.
Articolo in rivista - Articolo scientifico
Children; Fibula; Malleolus fracture; Nonunion;
Children; Fibila; Malleolus fracture; Nonunion;
English
9-giu-2020
2020
20
1
125
125
open
Turati, M., Leone, G., Zanchi, N., Omeljaniuk, R., Brahim, L., Zatti, G., et al. (2020). Clinical presentation and surgical treatment of distal fibular non-union with talus chondral lesions in a pediatric patient: A case report. BMC SURGERY, 20(1), 125 [10.1186/s12893-020-00782-z].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/277180
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