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Tibial plateau fracture

Case contributed by: Gerry Gardner

Presentation:

Severe pain non weight bearing after collision with large dog

Patient Data:

Gender: Male
Race: Caucasian
Modality: X-ray
Modality: CT

Case Discussion:

CT report : Large lipohaemarthrosis.  Comminuted  fracture  of  the  lateral tibial  plateau  which  appears  to  extend  into  the intercondylar  spines.  The  main  lateral  tibial  plateaufragments  are  depressed  by  at  least  5mm  and  there  is  a  gap which  is  wider  anteriorly  than  posteriorly.  There  is  an associated  fracture  of  the  fibular  /  head  neck  junction.Soft  tissue  injuries  are  best  assessed  by  MRI. 

Conclusion: Comminuted  combined  cleavage  and  compression  fracture  of  the lateral  tibial  plateau  with  associated  fracture  of  the fibular  head  /  neck  region.

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