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Lateral tibial plateau fracture

Case contributed by Gerry Gardner
Diagnosis certain

Presentation

Severe pain non-weight bearing after collision with a large dog.

Patient Data

Gender: Male
x-ray

Displaced fracture of the lateral tibial plateau with a large lipohemarthrosis. 

Large lipohemarthrosis. Comminuted fracture of the lateral tibial plateau which appears to extend into the intercondylar spines. The main lateral tibial plateau fragments are depressed by at least 5 mm and there is a gap which is wider anteriorly than posteriorly. There is an associated fracture of the fibular/head neck junction.

Case Discussion

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

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