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$Occult tibial plateau fracture$

OCCULT TIBIAL PLATEAU FRACTURE SKIN
OCCULT TIBIAL PLATEAU FRACTURE FULL
OCCULT TIBIAL PLATEAU FRACTURE PORTABLE

Ultrasound can be used in traumatic musculoskeletal injury to look for: 1

Be familiar with the ultrasound findings pathognomonic for a tibial plateau fracture.

Understand the technique for performing an ultrasound evaluation of the knee in the setting of trauma.

Is there a role for point-of-care ultrasound (POCUS) in this situation?

OCCULT TIBIAL PLATEAU FRACTURE PORTABLE

Portable 2-view radiographs were obtained and interpreted as “no acute fracture.” On repeat examination, however, the patient continued to have pain and was now unable to bear weight on the affected extremity. She was tender to palpation over the proximal tibia.

$occult tibial plateau fracture$

OCCULT TIBIAL PLATEAU FRACTURE SKIN

The emergency physician noted moderate swelling on exam with intact skin and distal pulses. She experienced no head strike or loss of consciousness, however she was unable to ambulate at the scene, and upon arrival to the ED, complained of left knee pain. Unappreciated ligamentous injury causes greater than normal stress on the remaining support structures of the joint, malalignment, and the development of premature osteoarthritis.A 70-year-old female with no past medical history was hit by a motor vehicle while crossing the street.

OCCULT TIBIAL PLATEAU FRACTURE FULL

The goal of therapy is to reduce the fracture and begin early mobilization. If the patient is immobilized for a lengthy period (>3 weeks), the joint will not return to the full range of movement.ĭepression of a tibial plateau that is inadequately corrected results in a varus or valgus deformity and accelerated osteoarthritis. MRI is very helpful in the assessment of soft tissue injury around the joint. The Schatzker classification is used in tibial plateau fractures. CTĬT is very helpful in accurately defining the extent of the bony injury and facilitates orthopedic intervention. Plain radiography often underestimates the severity of the injury. Tibial plateau fractures are complex injuries that require adequate imaging to assess prior to fixation. Schatzker VI: transverse tibial metadiaphyseal fracture, along with any type of tibial plateau fracture.complex high energy mechanism involving varus OR valgus forces with significant axial loading.Schatzker V: wedge fracture of both plateaus.Schatzker IV: medial plateau fracture with a split or compressed portion.Schatzker III: compression fracture of the lateral plateau.valgus force (moderate association with medial collateral ligament and medial meniscus injury).Schatzker II: wedge-shaped lateral plateau fracture with compression fracture of ipsilateral plateau.

$occult tibial plateau fracture$

valgus force with axial loading (femoral condyle rams the tibial plateau).

Schatzker I: wedge-shaped lateral plateau fracture.

The Schatzker classification is a useful classification to categorize the mechanism of injury 1: The fracture pattern will depend on the mechanism of injury. to cruciate and collateral ligaments) occur in approximately 10% of patients.įractures of the lateral plateau are much more common than the medial plateau. To injure the medial plateau, a large amount of force is required fractures of the medial plateau are usually seen in conjunction with fractures of the lateral plateau and other bones around the knee joint.

$occult tibial plateau fracture$

fall from a significant height. In younger patients, the most common pattern of fracture is splitting, while in older, more osteoporotic patients, depression fractures typically are sustained. The most common mechanism of injury involves axial loading, e.g.

$Occult tibial plateau fracture$