Tibial plateau fracture - Revision history

Rossdonaldson1: /* Background */

2025-03-05T23:03:10Z

Background

← Older revision		Revision as of 23:03, 5 March 2025
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	==Background==		==Background==
	[[File:Knee diagram2.png\|thumb\|Anatomy of anterolateral aspect of right knee.]]		[[File:Knee diagram2.png\|thumb\|Anatomy of anterolateral aspect of right knee.]]
			[[File:Gray257.png\|thumb\|Superior surface of right tibia. (Anterior is at top of image.)]]
	*ACL and MCL injuries associated with lateral plateau fracture		*ACL and MCL injuries associated with lateral plateau fracture
	*PCL and LCL associated with medial plateau fracture		*PCL and LCL associated with medial plateau fracture

2020-05-21T21:42:06Z

Background

← Older revision		Revision as of 21:42, 21 May 2020
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	==Background==		==Background==
			[[File:Knee diagram2.png\|thumb\|Anatomy of anterolateral aspect of right knee.]]
	*ACL and MCL injuries associated with lateral plateau fracture		*ACL and MCL injuries associated with lateral plateau fracture
	*PCL and LCL associated with medial plateau fracture		*PCL and LCL associated with medial plateau fracture

2019-09-18T04:58:17Z

Management

← Older revision		Revision as of 04:58, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	*Knee immobilizer with non-weightbearing and ortho referral in 2-7d		*Knee immobilizer with non-weightbearing and ortho referral in 2-7d
	*Emergent surgical management if open or if neurovascular compromise		*Emergent surgical management if open or if neurovascular compromise

2019-05-10T04:23:37Z

Evaluation

← Older revision		Revision as of 04:23, 10 May 2019
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	[[File:Schatzker Classification.jpg\|thumb\|Schatzker Classification of Tibial Plateau Fractures]]		[[File:Schatzker Classification.jpg\|thumb\|Schatzker Classification of Tibial Plateau Fractures]]
	===Imaging===		===Imaging===
			[[File:TibPlatFracPlainMark.png\|thumb]]
			[[File:Lipohemarthrosis.png\|thumb\|Lipohemarthrosis (presence of fat and blood from bone marrow in the joint space after an intraarticular fracture) seen on X-ray in a person with a subtle tibial plateau fracture]]
	[[File:TibPlateauBadMark.png\|thumb]]		[[File:TibPlateauBadMark.png\|thumb]]
	[[File:Lipohemarthrosis.png\|thumb\|Lipohemarthrosis (presence of fat and blood from bone marrow in the joint space after an intraarticular fracture) seen on X-ray in a person with a subtle tibial plateau fracture]]
	~~[[File:TibPlatFracPlainMark.png\|thumb]]~~
	*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.		*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.
	**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it		**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it

2017-11-09T06:11:04Z

Disposition

← Older revision		Revision as of 06:11, 9 November 2017
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	*Significant displacement or depression		*Significant displacement or depression
	*Suspected or documented ligamentous injury		*Suspected or documented ligamentous injury
	Indications for surgery
			===Indications for (outpatient) surgery===
	*Articular stepoff > 3mm		*Articular stepoff > 3mm
	*Condylar widening > 5mm		*Condylar widening > 5mm

2017-11-09T06:10:27Z

Disposition

← Older revision		Revision as of 06:10, 9 November 2017
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	==Disposition==		==Disposition==
	*Indications for ~~referral~~ within 48hr:		*Outpatient follow up
	**Significant displacement or depression
	**Suspected or documented ligamentous injury		===Indications for Expedited Referral (within 48hr)===
	*Indications for surgery		*Significant displacement or depression
	**Articular stepoff > 3mm		*Suspected or documented ligamentous injury
	**Condylar widening > 5mm		Indications for surgery
	**Varus/valgus instability		*Articular stepoff > 3mm
	**All medial plateau fractures		*Condylar widening > 5mm
	**All bicondylar fractures		*Varus/valgus instability
			*All medial plateau fractures
			*All bicondylar fractures

	==See Also==		==See Also==

2017-11-09T06:09:08Z

Background

← Older revision		Revision as of 06:09, 9 November 2017
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	*ACL and MCL injuries associated with lateral plateau fracture		*ACL and MCL injuries associated with lateral plateau fracture
	*PCL and LCL associated with medial plateau fracture		*PCL and LCL associated with medial plateau fracture
	*Compartment syndrome may occur		*[[Compartment syndrome]] may occur
	*Segond ~~Fracture~~		*[[Segond fracture]]
	**Avulsion fracture of margin of lateral tibial plateau just below joint line		**Avulsion fracture of margin of lateral tibial plateau just below joint line
	**Associated with tear of ACL and meniscal ligaments		**Associated with tear of ACL and meniscal ligaments

2017-11-09T05:16:11Z

Imaging

← Older revision		Revision as of 05:16, 9 November 2017
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	[[File:TibPlateauBadMark.png\|thumb]]		[[File:TibPlateauBadMark.png\|thumb]]
	[[File:Lipohemarthrosis.png\|thumb\|Lipohemarthrosis (presence of fat and blood from bone marrow in the joint space after an intraarticular fracture) seen on X-ray in a person with a subtle tibial plateau fracture]]		[[File:Lipohemarthrosis.png\|thumb\|Lipohemarthrosis (presence of fat and blood from bone marrow in the joint space after an intraarticular fracture) seen on X-ray in a person with a subtle tibial plateau fracture]]
			[[File:TibPlatFracPlainMark.png\|thumb]]
	*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.		*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.
	**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it		**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it

2017-11-09T05:15:06Z

Imaging

← Older revision		Revision as of 05:15, 9 November 2017
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	===Imaging===		===Imaging===
	[[File:TibPlateauBadMark.png\|thumb]]		[[File:TibPlateauBadMark.png\|thumb]]
			[[File:Lipohemarthrosis.png\|thumb\|Lipohemarthrosis (presence of fat and blood from bone marrow in the joint space after an intraarticular fracture) seen on X-ray in a person with a subtle tibial plateau fracture]]
	*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.		*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.
	**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it		**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it

2017-11-09T05:12:03Z

Evaluation

← Older revision		Revision as of 05:12, 9 November 2017
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	[[File:Schatzker Classification.jpg\|thumb\|Schatzker Classification of Tibial Plateau Fractures]]		[[File:Schatzker Classification.jpg\|thumb\|Schatzker Classification of Tibial Plateau Fractures]]
	===Imaging===		===Imaging===
			[[File:TibPlateauBadMark.png\|thumb]]
	*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.		*AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Tunnel view may also be helpful.
	**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it		**AP - line drawn at lateral margin of femur should not have >5mm of tibia beyond it
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	*Schatzker IV Pure medial depression		*Schatzker IV Pure medial depression
	*Schatzker V Bicondylar		*Schatzker V Bicondylar
	*Schatzker VI Split extends to metadiaphysis		*Schatzker VI Split extends to metadiaphysis

	==Management==		==Management==