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
X-ray

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

Marked lipohemarthrosis.

CT

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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Case information

rID: 50857
Published: 25th Jan 2017
Last edited: 15th Mar 2019
Inclusion in quiz mode: Included

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