Tibial plateau fracture: Schatzker type IV

Case contributed by Dr Bruno Di Muzio

Presentation

Fall from stairs. Unable to weight-bear.

Patient Data

Age: 50 years

Left knee radiograph

X-ray

Although the fracture line is not clearly seen, there is evidence of depression of the medial tibial plateau. Moderated amount of joint fluid noted distending the suprapatellar recess. Narrowing of the medial compartment of the femorotibial joint with no associated osteophytes.

CT left knee

CT
Fracture with split and depression of the medial aspect of the tibial plateau associated with moderate hemarthrosis. No other fractures seen.

Case Discussion

This case illustrates a Schatzker type IV fracture is a medial tibial plateau fracture with a depressed component.

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