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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Tibial plateau fracture x ray

Introduction

Overview

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

X Ray

X ray of Knee showing Schatzker type VI tibial plateau fracture. Source: Case courtesy by: Dr. Rohan A. Bhimani
  • 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

References

  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.
  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.
  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.
  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.

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]