Tibial plateau fracture x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

Radiographic imaging is important in diagnosis, classification, treatment and follow-up assessment of tibial plateau fracture. The routine minimal evaluation for tibial plateau fracture must include a antero-posterior (AP) view, oblique and lateral view. The radiological findings include, abnormal joint alignment, depressed articular fragments and coronal split fractures.

X Ray

Radiographic imaging is important in diagnosis, classification, treatment and follow-up assessment of tibial plateau fracture.^[1]
The routine minimal evaluation for tibial plateau fracture must include views such as Antero- posterior (AP) view, oblique and lateral view.^[1]
In addition,tibial plateau view which is an AP projection of the knee, angled 15° caudally provides assessment of the depth of plateau surface depression.^[2]
X ray findings include:^[3]^[4]^[5]

- Antero-posterior view
  - Depressed articular surface
  - Sclerotic band of bone indicating compression fracture
  - Disruption of the joint alignment
- Lateral View
  - Posteromedial fracture lines are visualized

References

↑ ^1.0 ^1.1 Rossi R, Bonasia DE, Blonna D, Assom M, Castoldi F (2008). “Prospective follow-up of a simple arthroscopic-assisted technique for lateral tibial plateau fractures: results at 5 years”. Knee. 15 (5): 378–83. doi:10.1016/j.knee.2008.04.001. PMID 18571417.
↑ Schatzker J, McBroom R, Bruce D (1979). “The tibial plateau fracture. The Toronto experience 1968–1975”. Clin Orthop Relat Res (138): 94–104. PMID 445923.
↑ Markhardt BK, Gross JM, Monu JU (2009). “Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment”. Radiographics. 29 (2): 585–97. doi:10.1148/rg.292085078. PMID 19325067.
↑ te Stroet MA, Holla M, Biert J, van Kampen A (2011). “The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures”. Emerg Radiol. 18 (4): 279–83. doi:10.1007/s10140-010-0932-5. PMC 3139878. PMID 21394519.
↑ Rockwood, Charles (2010). Rockwood and Green’s fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.

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[pmid18571417-1] 1.0 ^1.1 Rossi R, Bonasia DE, Blonna D, Assom M, Castoldi F (2008). “Prospective follow-up of a simple arthroscopic-assisted technique for lateral tibial plateau fractures: results at 5 years”. Knee. 15 (5): 378–83. doi:10.1016/j.knee.2008.04.001. PMID 18571417.

[pmid445923-2] Schatzker J, McBroom R, Bruce D (1979). “The tibial plateau fracture. The Toronto experience 1968–1975”. Clin Orthop Relat Res (138): 94–104. PMID 445923.

[pmid19325067-3] Markhardt BK, Gross JM, Monu JU (2009). “Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment”. Radiographics. 29 (2): 585–97. doi:10.1148/rg.292085078. PMID 19325067.

[pmid21394519-4] te Stroet MA, Holla M, Biert J, van Kampen A (2011). “The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures”. Emerg Radiol. 18 (4): 279–83. doi:10.1007/s10140-010-0932-5. PMC 3139878. PMID 21394519.

[5] Rockwood, Charles (2010). Rockwood and Green’s fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.

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Tibial plateau fracture x ray

Overview

X Ray

References

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