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{ "pk": 35491, "title": "Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump ", "subtitle": null, "abstract": "<p><strong>Case Presentation:</strong> 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.</p>\n<p><strong>Discussion</strong>: 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.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "tibial pilon fracture" }, { "word": "tibial plafond fracture" }, { "word": "low-energy trauma" }, { "word": "open reduction internal fixation (ORIF)" }, { "word": "open reduction internal fixation" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6j780924", "frozenauthors": [ { "first_name": "Victoria", "middle_name": "M", "last_name": "Koniuk", "name_suffix": "", "institution": "Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South Carolina", "department": "" }, { "first_name": "Brody", "middle_name": "M", "last_name": "Fogleman", "name_suffix": "", "institution": "Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South Carolina", "department": "" }, { "first_name": "Lindsay", "middle_name": "", "last_name": "Tjiattas-Saleski", "name_suffix": "", "institution": "Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South Carolina", "department": "" } ], "date_submitted": "2024-09-22T10:11:00.815000-05:00", "date_accepted": "2024-12-05T05:13:06.552000-06:00", "date_published": "2025-01-27T00:46:00-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/35491/galley/31542/download/" } ] }