Pediatric Posterior Malleolus Fracture

  • Etiology: Trauma
  • Imaging: Best seen on lateral radiograph, bony discontinuity through posterior aspect of tibial plafond often with articular step-off
  • DDX:
  • Complications:
  • Treatment:
  • Clinical:

Radiology Cases of Posterior Malleolus Fracture

Radiograph and CT of posterior malleolus fracture
Lateral radiograph of the ankle (above right) shows a bony discontinuity through the posterior aspect of the tibial plafond extending to the physis without an articular step-off which is better seen on the sagittal CT without contrast of the ankle (below).