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Tibial plateau fracture - Schatzker type II

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Fall from standing height. Swelling of the right knee. Unable to bear weight on the right leg.

Patient Data

Age: 55 years
Gender: Female

Knee radiographs revealed an intra-articular fracture of the proximal tibia, the tibial plateau. The lateral tibial plateau is fractured, with an axial depression component. This characterizes a Schatzker type II tibial plateau fracture.

Important knee joint effusion is noted.

Case Discussion

Tibial plateau fractures are fractures of the proximal tibia with intra-articular involvement. These injuries are usually the result of high-energy trauma. However, amongst the elderly population, low-energy trauma such as a fall from standing height might cause a tibial plateau fracture.

The present case was classified as Schatzker type II fracture.

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