Tibial plateau fracture - Schatzker type VI

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Pedestrian vs car accident

Patient Data

Age: 50 years
Gender: Male

Comminuted bicondylar intra-articular tibial plateau fracture which extends across the metadiaphysis (Schatzker VI).

Lateral horizontal beam images demonstrate fat-fluid level in the suprapatellar pouch consistent with lipohemarthrosis.   

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 suprapatellar pouch consistent with lipohemarthrosis.   

Case Discussion

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

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.