Presentation
Fall from height, with leg twisting as fell. Unable to flex swollen painful knee.
Patient Data
Age: 40 years
Gender: Female
From the case:
Tibial plateau fracture
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Frontal
Tibial plateau fracture extending through the tibial crest and involving both medial and lateral compartments.
Marked lipohemarthrosis.
From the case:
Tibial plateau fracture
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Axial bone window
Complex tibial plateau injury involving both compartments, the tibial spine and the posterior corner leading to joint instability.
Lipohemarthrosis.
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 lipohemarthrosis should raise your suspicion of a significant fracture.
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