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Tibial Plateau Fracture
Kirkland W. Davis, MD, FACR; B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Lateral tibial plateau fx, "bumper" fx, "fender" fx
          • Definitions

            • Fx of plateau due to axial loading, ± rotational injury, ± valgus angulation

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        • Reporting Tips

                                          Selected References

                                          1. McNamara IR et al: Surgical fixation methods for tibial plateau fractures. Cochrane Database Syst Rev. 9:CD009679, 2015
                                          2. Burdin G: Arthroscopic management of tibial plateau fractures: surgical technique. Orthop Traumatol Surg Res. 99(1 Suppl):S208-18, 2013
                                          3. Persiani P et al: Risk analysis in tibial plateau fractures: association between severity, treatment and clinical outcome. Musculoskelet Surg. 97(2):131-6, 2013
                                          4. Spiro AS et al: The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture. Knee Surg Sports Traumatol Arthrosc. 21(3):564-70, 2013
                                          5. Ziran B et al: Radiographic predictors of compartment syndrome in tibial plateau fractures. J Orthop Trauma. Epub ahead of print, 2013
                                          6. Durakbasa MO et al: Measurement of lateral plateau depression and lateral plateau widening in a Schatzker type II fracture can predict a lateral meniscal injury. Knee Surg Sports Traumatol Arthrosc. Epub ahead of print, 2012
                                          7. Ruiz-Ibán MÁ et al: Repair of meniscal tears associated with tibial plateau fractures: a review of 15 cases. Am J Sports Med. 40(10):2289-95, 2012
                                          8. Markhardt BK et al: Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. Radiographics. 29(2):585-97, 2009
                                          9. Musahl V et al: New trends and techniques in open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg Br. 91(4):426-33, 2009
                                          10. W Mui L et al: Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury? Skeletal Radiol. 2006
                                          11. Mustonen AO et al: Acute knee trauma: analysis of multidetector computed tomography findings and comparison with conventional radiography. Acta Radiol. 46(8):866-74, 2005
                                          12. Cameron HU: Tibial plateau fractures. Can J Surg. 47(2):149, 2004
                                          13. Dirschl DR et al: Injury severity assessment in tibial plateau fractures. Clin Orthop Relat Res. (423):85-92, 2004
                                          14. Lawler LP et al: Multi- and single detector CT with 3D volume rendering in tibial plateau fracture imaging and management. Crit Rev Comput Tomogr. 43(4):251-82, 2002
                                          15. Shepherd L et al: The prevalence of soft tissue injuries in nonoperative tibial plateau fractures as determined by magnetic resonance imaging. J Orthop Trauma. 16(9):628-31, 2002
                                          16. Yacoubian SV et al: Impact of MRI on treatment plan and fracture classification of tibial plateau fractures. J Orthop Trauma. 16(9):632-7, 2002
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Lateral tibial plateau fx, "bumper" fx, "fender" fx
                                                  • Definitions

                                                    • Fx of plateau due to axial loading, ± rotational injury, ± valgus angulation

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Consider

                                                                              • Image Interpretation Pearls

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. McNamara IR et al: Surgical fixation methods for tibial plateau fractures. Cochrane Database Syst Rev. 9:CD009679, 2015
                                                                                  2. Burdin G: Arthroscopic management of tibial plateau fractures: surgical technique. Orthop Traumatol Surg Res. 99(1 Suppl):S208-18, 2013
                                                                                  3. Persiani P et al: Risk analysis in tibial plateau fractures: association between severity, treatment and clinical outcome. Musculoskelet Surg. 97(2):131-6, 2013
                                                                                  4. Spiro AS et al: The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture. Knee Surg Sports Traumatol Arthrosc. 21(3):564-70, 2013
                                                                                  5. Ziran B et al: Radiographic predictors of compartment syndrome in tibial plateau fractures. J Orthop Trauma. Epub ahead of print, 2013
                                                                                  6. Durakbasa MO et al: Measurement of lateral plateau depression and lateral plateau widening in a Schatzker type II fracture can predict a lateral meniscal injury. Knee Surg Sports Traumatol Arthrosc. Epub ahead of print, 2012
                                                                                  7. Ruiz-Ibán MÁ et al: Repair of meniscal tears associated with tibial plateau fractures: a review of 15 cases. Am J Sports Med. 40(10):2289-95, 2012
                                                                                  8. Markhardt BK et al: Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. Radiographics. 29(2):585-97, 2009
                                                                                  9. Musahl V et al: New trends and techniques in open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg Br. 91(4):426-33, 2009
                                                                                  10. W Mui L et al: Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury? Skeletal Radiol. 2006
                                                                                  11. Mustonen AO et al: Acute knee trauma: analysis of multidetector computed tomography findings and comparison with conventional radiography. Acta Radiol. 46(8):866-74, 2005
                                                                                  12. Cameron HU: Tibial plateau fractures. Can J Surg. 47(2):149, 2004
                                                                                  13. Dirschl DR et al: Injury severity assessment in tibial plateau fractures. Clin Orthop Relat Res. (423):85-92, 2004
                                                                                  14. Lawler LP et al: Multi- and single detector CT with 3D volume rendering in tibial plateau fracture imaging and management. Crit Rev Comput Tomogr. 43(4):251-82, 2002
                                                                                  15. Shepherd L et al: The prevalence of soft tissue injuries in nonoperative tibial plateau fractures as determined by magnetic resonance imaging. J Orthop Trauma. 16(9):628-31, 2002
                                                                                  16. Yacoubian SV et al: Impact of MRI on treatment plan and fracture classification of tibial plateau fractures. J Orthop Trauma. 16(9):632-7, 2002