Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump

Case Presentation: An 18-year-old male presented with severe left ankle pain and inability to bear weight after jumping from a three-foot platform. Physical examination revealed decreased range of motion of the left ankle without visible deformity or neurovascular deficits. Imaging studies showed a...

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Main Authors: Victoria M Koniuk, Brody M Fogleman, Lindsay Tjiattas-Saleski
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-01-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/6j780924
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author Victoria M Koniuk
Brody M Fogleman
Lindsay Tjiattas-Saleski
author_facet Victoria M Koniuk
Brody M Fogleman
Lindsay Tjiattas-Saleski
author_sort Victoria M Koniuk
collection DOAJ
description Case Presentation: An 18-year-old male presented with severe left ankle pain and inability to bear weight after jumping from a three-foot platform. Physical examination revealed decreased range of motion of the left ankle without visible deformity or neurovascular deficits. Imaging studies showed a vertical fracture of the distal tibia—a pilon fracture without fibular involvement. Discussion: Pilon fractures involve the distal tibial articular surface and are rare. They typically result from high-energy trauma and often involve the fibula. This case illustrates a low-energy mechanism resulting in a pilon fracture without fibular involvement in a young patient without typical risk factors. It highlights the importance of considering pilon fractures in low-energy ankle injuries and the need for appropriate management even in less-complex cases.
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institution Kabale University
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language English
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publisher eScholarship Publishing, University of California
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series Clinical Practice and Cases in Emergency Medicine
spelling doaj-art-54e1795da6934ee5a650b77fcaf98c272025-02-04T17:35:18ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-019110210410.5811/cpcem.35491cpcem-9-102Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple JumpVictoria M Koniuk0Brody M Fogleman1Lindsay Tjiattas-Saleski2Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South CarolinaEdward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South CarolinaEdward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South CarolinaCase Presentation: An 18-year-old male presented with severe left ankle pain and inability to bear weight after jumping from a three-foot platform. Physical examination revealed decreased range of motion of the left ankle without visible deformity or neurovascular deficits. Imaging studies showed a vertical fracture of the distal tibia—a pilon fracture without fibular involvement. Discussion: Pilon fractures involve the distal tibial articular surface and are rare. They typically result from high-energy trauma and often involve the fibula. This case illustrates a low-energy mechanism resulting in a pilon fracture without fibular involvement in a young patient without typical risk factors. It highlights the importance of considering pilon fractures in low-energy ankle injuries and the need for appropriate management even in less-complex cases.https://escholarship.org/uc/item/6j780924
spellingShingle Victoria M Koniuk
Brody M Fogleman
Lindsay Tjiattas-Saleski
Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump
Clinical Practice and Cases in Emergency Medicine
title Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump
title_full Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump
title_fullStr Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump
title_full_unstemmed Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump
title_short Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump
title_sort play turned painful a teenager s tibial pilon fracture from a simple jump
url https://escholarship.org/uc/item/6j780924
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