Schatzker classification of tibial plateau fractures
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Citation:
Bryanton M, Machang'a K, Knipe H, et al. Schatzker classification of tibial plateau fractures. Reference article, Radiopaedia.org (Accessed on 05 Dec 2024) https://doi.org/10.53347/rID-7322
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7322
Article created:
12 Oct 2009,
Mark Bryanton
Disclosures:
At the time the article was created Mark Bryanton had no recorded disclosures.
View Mark Bryanton's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Karen Machang'a had no financial relationships to ineligible companies to disclose.
View Karen Machang'a's current disclosures
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49 times, by
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Synonyms:
- Tibial plateau fractures - Schatzker classification
- Schatzker classification of tibial plateau injuries
- Schatzker classification
Schatzker classification system is one method of classifying tibial plateau fractures.
Increase in type number denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis 1. The most common fracture of the tibial plateau is type II.
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Classification
This system divides tibial plateau fractures into six types:
Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement
Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component (generally considered commonest 5)
-
Schatzker III: pure depression of the lateral tibial plateau; divided into two subtypes
Schatzker IIIa: with lateral depression
Schatzker IIIb: with central depression
Schatzker IV: medial tibial plateau fracture with a split or depressed component
Schatzker V: wedge fracture of both lateral and medial tibial plateau
Schatzker VI: transverse tibial metadiaphyseal fracture, along with any type of tibial plateau fracture (metaphyseal-diaphyseal discontinuity)
History and etymology
This classification was first published by Joseph Schatzker et al. in 1979 4.
Practical points
detection of a lipohemarthrosis on a knee radiograph without evidence of a displaced fracture should raise concern for a tibial plateau fracture and CT should be arranged
the normal lateral tibial plateau is flat, whereas the medial plateau is slightly convex
the CT report should state the amount of fracture depression from the joint line
See also
Quiz questions
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References
- 1. Markhardt B, Gross J, Monu J. Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment1. Radiographics. 2009;29 (2): 585-597. Radiographics (full text) - doi:10.1148/rg.292085078
- 2. Mustonen AO, Koivikko MP, Kiuru MJ et-al. Postoperative MDCT of tibial plateau fractures. AJR Am J Roentgenol. 2009;193 (5): 1354-60. doi:10.2214/AJR.08.2260 - Pubmed citation
- 3. Kode L, Lieberman JM, Motta AO et-al. Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT. AJR Am J Roentgenol. 1994;163 (1): 141-7. AJR Am J Roentgenol (abstract) - Pubmed citation
- 4. Schatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Toronto experience 1968--1975. Clinical orthopaedics and related research. Pubmed
- 5. El Kharboutly A. Multi-Detector Computed Tomography Assessment of the Tibial Plateau Fractures. The Egyptian Journal of Radiology and Nuclear Medicine. 2015;46(3):695-9. doi:10.1016/j.ejrnm.2015.05.011
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Articles:
Cases:
- Tibial plateau fracture - Schatzker type V
- Tibial plateau fracture
- Pneumolipohemarthrosis
- Schatzker type V tibial plateau fracture with head of fibula fracture
- Tibial plateau fracture: Schatzker Type VI
- Tibial plateau fracture
- Tibial plateau ORIF - Schatzker type III fracture
- Tibial plateau fracture - Schatzker type VI
- Tibial plateau fracture - Schatzker type VI
- Tibial plateau fracture - Schatzker type II
- Tibial plateau fracture - Schatzker type IV
- Tibial plateau fracture - Schatzker type IV
- Tibial plateau fracture - Schatzker type V
- Tibial plateau fracture - Schatzker type VI
- Tibial plateau fracture : Schatzker type V
- Schatzker type V - tibial plateau fracture
- Schatzker classification of tibial plateau fractures (illustrations)
- Lateral tibial plateau fracture with lipohaemarthrosis
- Tibial plateau fracture - Schatzker type 1
- Lateral tibial plateau fracture (Schatzker I)
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