Tibial plateau fracture: Schatzker type VI

Case contributed by Dr Andrew Dixon

Presentation

Pedestrian vs car accident

Patient Data

Age: 50
Gender: Male
Modality: X-ray

Comminuted bicondylar intra-articular tibial plateau fracture which extends across the metadiaphysis (Schatzker VI). Lateral horizontal beam images demonstrate fat-fluid level in the suprapatella pouch consistent with lipohaemarthrosis.   

Modality: CT

Comminuted bicondylar intra-articular tibial plateau fracture which extends across the metadiaphysis (Schatzker VI). Highly comminuted, moderately impacted and displaced tibial plateau fracture involving the medial plateau anteriorly and lateral plateau mid to posteriorly. Fracture fragment separation by up to 1.2 cm. 5 mm articular surface step laterally. Comminution of the tibial eminence and spines. Oblique linear fracture extension into the tibial shaft medially and laterally. Fat-fluid level in the suprapatella pouch consistent with lipohaemarthrosis.   

Case Discussion

Comminuted bicondylar intra-articular tibial plateau fracture which extends across the metadiaphysis (Schatzker VI) with nice radiographic and CT demonstration of lipohaemarthrosis

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Case Information

rID: 35792
Case created: 23rd Apr 2015
Last edited: 27th Sep 2016
Inclusion in quiz mode: Included

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