Schatzker classification of tibial plateau fractures (illustrations)

Case contributed by Andrew Murphy
Diagnosis not applicable

Schatzker classification

Diagram

Illustrative representation of the Schatzker classification of tibial plateau fractures.

Case Discussion

Schatzker classification of tibial plateau fractures is one way of categorizing tibial plateau fractures of which the Schatzker type II is most common.

  • 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)

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