Presentation
Cycling accident, left knee pain.
Patient Data
Age: 30 years
Gender: Male
From the case:
Tibial plateau fracture
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Lipoheamarthrosis is present on the lateral projection. On the AP projection, there is a subtle lateral tibial plateau fracture, with minimal depression.
Case Discussion
Lipoheamarthrosis 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.