Description
This VTT transcript outlines a presentation by Miss Kate Bugler, a pediatric orthopaedic consultant from The Royal Hospital for Children and Young People in Edinburgh. The talk focuses on transitional fractures in adolescents, specifically emphasizing their unique fracture patterns that do not fit neatly into adult or pediatric categories. Miss Bugler highlights the importance of understanding these fractures due to their distinct management needs.
She discusses two main types of transitional fractures: tibial tuberosity fractures and distal tibial fractures, such as Tillaux and triplane fractures. Tibial tuberosity fractures are most common in young, athletic males and often occur during activities that involve jumping or eccentric loading. The presentation also covers the mechanics of the injury, diagnostic imaging, and treatment options, such as open reduction and fixation methods. Miss Bugler stresses the importance of thorough assessments to account for possible complications like compartment syndrome and premature physeal closure.
For distal tibial fractures, she explains their different forms—the Tillaux fracture representing the last phase of growth plate fusion, while triplane fractures are likely to occur at the beginning of this process. The discussion includes management strategies, potential complications, and the significance of follow-up care to monitor for growth-related consequences.
The overall aim of the talk is to enhance understanding and improve management of adolescent fractures, along with advocating for awareness of the risks associated with these injuries.