The tillaux fracture consists of avulsion of the anterior lateral margin of the distal tibia. It is caused by a twisting injury. The anterior tibiofibular ligament avulses a small portion of the tibia.

A	Lateral radiograph of the ankle. This reveals a fracture of the anterolateral aspect of the tibia.
B	AP radiograph of the ankle. The fracture is not well seen on this radiograph.

Links to online textbooks:

• Wheeless' Orthopedics: discussion of Tillaux fracture

Links to online cases:

• Medical College of Wisconsin

References:

• Protas JM, Kornblatt BA: Fractures of the lateral margin of the distal tibia. The Tillaux fracture Radiology. 1981 Jan;138(1):55-7.           [See related articles]
• Duchesneau S, Fallat LM: The Tillaux fracture J Foot Ankle Surg. 1996 Mar-Apr;35(2):127-33.           [See related articles]