Tibial plateau fracture

Case contributed by Derek Smith


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

Patient Data

Age: 40 years
Gender: Female

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

Marked lipohemarthrosis.


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


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.