Tibial plateau fracture

Case contributed by Dr Derek Smith

Presentation

Fall from height, with leg twisting as fell. Unable to flex swollen painful knee.

Patient Data

Age: 40
Gender: Female
Modality: X-ray

Tibial plateau fracture extending through the tibial crest and involving both medial and lateral compartments.

Marked lipohaemarthrosis.

Modality: CT

Complex tibial plateau injury involving both compartments, the tibial spine and the posterior corner leading to joint instability.

Lipohaemarthrosis.

No fibular, patellar or femoral fracture.

Case Discussion

Extensive bony injury which is more apparent on CT than plain radiography, although the important "don't miss" sign of lipohaemarthrosis should raise your suspicion of a significant fracture.

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Case Information

rID: 50857
Case created: 24th Jan 2017
Last edited: 3rd Feb 2017
Inclusion in quiz mode: Included

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