Tibial plateau fractures occur as a result of trauma:
Force directed either medially (valgus deformity) or laterally (varus deformity)
Axial compressive force
Combination of both
An axial compressi...
X-ray: anteroposterior (AP), lateral, oblique; possible tunnel view
Magnetic resonance imaging (MRI): indicated for assessment of associated ligamentous or cartilaginous injury
No more than 5 mm (0.5 cm) of depression/displacement is acceptable for conservative treatment.
Emergency department (ED) treatment:
Non–weight-bearing or toe-touch weight-bear...
High rate of osteoarthritis associated with tibial plateau fractures 7
Prognosis for full return of motion in the presence of osteoarthritis is poor.
Outcomes are generally better ...
Elsoe R, Larsen P, Nielsen NP, et al. Population-based epidemiology of tibial plateau fractures. Orthopedics. 2015;38(9):e780–e786.
Prat-Fabregat S, Camacho-Carrasco P. Treatme...
Need to have a high index of suspicion with ligamentous injury, especially in the setting of large swelling shortly after injury
Although tibial plateau fractures have a low overall inc...
Sign up for a 10-day FREE Trial now and receive full access to all content.