Tibial plateau fracture Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Tibial plateau fracture from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis Diagnosis Diagnostic Study of Choice History and Symptoms Physical Examination Laboratory Findings Electrocardiogram X-ray Echocardiography and Ultrasound CT scan MRI Other Imaging Findings Other Diagnostic Studies Treatment Medical Therapy Interventions Surgery Primary Prevention Secondary Prevention Cost-Effectiveness of Therapy Future or Investigational Therapies Case Studies Case #1 Tibial plateau fracture x ray On the Web Most recent articles Most cited articles Review articles CME Programs Powerpoint slides Images American Roentgen Ray Society Images of Tibial plateau fracture x ray All Images X-rays Echo & Ultrasound CT Images MRI Ongoing Trials at Clinical Trials.gov US National Guidelines Clearinghouse NICE Guidance FDA on Tibial plateau fracture x ray CDC on Tibial plateau fracture x ray Tibial plateau fracture x ray in the news Blogs on Tibial plateau fracture x ray Directions to Hospitals Treating Psoriasis Risk calculators and risk factors for 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[edit | edit source] 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[edit | edit source] 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[edit | edit source] 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.CS1 maint: Multiple names: authors list (link) 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.CS1 maint: Multiple names: authors list (link) 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.CS1 maint: Multiple names: authors list (link) 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.CS1 maint: Multiple names: authors list (link) 5. ↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773. Template:WH Template:WS