Diaphyseal aclasis and tibial plateau fracture

Case contributed by Dr Varun Babu

Presentation

Twisting injury to knee two weeks ago with persisting pain.

Patient Data

Age: 60 years
Gender: Male

Comminuted depressed fracture of lateral tibial plateau of left knee with 9.4mm depression and subchondral collapse. Fracture lines traverse to the epimetaphysis without any displacement.

Incidental bony outgrowths at distal diametaphysis of both femurs in the medial aspect as well as in the medial aspect of proximal left tibial diaphyses. These bony exostoses show preserved cortical continuity and normal transition of medullary marrow into the lesion. 

Case Discussion

Tibial plateau fractures are classified based on Schatzker system.

The multiple exostoses were incidentally found and are typical of diaphyseal aclasis or hereditary multiple exostoses. 

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Case information

rID: 52902
Case created: 25th Apr 2017
Last edited: 26th Apr 2017
Inclusion in quiz mode: Included

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