Ankle fractures in children.

Area of Science:

• Orthopedics
• Pediatric Orthopedics
• Radiology

Background:

• Intra-articular pediatric ankle fractures require careful management.
• Assessing these injuries impacts treatment decisions and long-term outcomes.
• Growth plate involvement necessitates vigilant monitoring.

Purpose of the Study:

• To outline the role of computed tomography in managing pediatric ankle fractures.
• To describe treatment strategies for displaced and nondisplaced fractures.
• To emphasize the importance of monitoring physeal injuries for growth disturbances.

Main Methods:

• Review of current literature and clinical guidelines.
• Analysis of imaging modalities, particularly computed tomography.
• Discussion of surgical versus non-surgical management options.

Main Results:

• Computed tomography is valuable for preoperative planning and postreduction assessment.
• Nondisplaced fractures are managed non-operatively with radiographic follow-up.
• Open reduction and internal fixation are indicated for specific fracture types with significant articular displacement.

Conclusions:

• Effective management of pediatric ankle fractures combines appropriate imaging with tailored treatment.
• Close follow-up is crucial for physeal injuries to prevent growth arrest and angular deformities.
• Surgical intervention should be considered for unstable fractures to ensure optimal joint congruity.