Tibial plateau fracture
Cycling accident, left knee pain.
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Lipoheamarthris is present on the lateral projection. On the AP projection, there is a subtle lateral tibial plateau fracture, with minimal depression.
Lipoheamotartiois can be detected best via a horizontal beam knee projection, it is important to request a shoot through lateral knee in the acute setting to assure you have the best chance at distinguishing occult fractures 1.
- 1. Lee JH, Weissman BN, Nikpoor N et-al. Lipohemarthrosis of the knee: a review of recent experiences. Radiology. 1989;173 (1): 189-91. Radiology (abstract) - Pubmed citation