Tibial plateau fracture x ray: Difference between revisions
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{{CMG}}; {{AE}} {{Rohan}} | {{CMG}}; {{AE}} {{Rohan}} | ||
==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== | ||
*Radiographic imaging is important in diagnosis, classification, treatment and follow-up assessment of tibial plateau fracture.<ref name="pmid18571417">{{cite journal| author=Rossi R, Bonasia DE, Blonna D, Assom M, Castoldi F| title=Prospective follow-up of a simple arthroscopic-assisted technique for lateral tibial plateau fractures: results at 5 years. | journal=Knee | year= 2008 | volume= 15 | issue= 5 | pages= 378-83 | pmid=18571417 | doi=10.1016/j.knee.2008.04.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18571417 }} </ref> | |||
*The routine minimal evaluation for tibial plateau fracture must include views such as Antero- posterior (AP) view, oblique and lateral view.<ref name="pmid18571417">{{cite journal| author=Rossi R, Bonasia DE, Blonna D, Assom M, Castoldi F| title=Prospective follow-up of a simple arthroscopic-assisted technique for lateral tibial plateau fractures: results at 5 years. | journal=Knee | year= 2008 | volume= 15 | issue= 5 | pages= 378-83 | pmid=18571417 | doi=10.1016/j.knee.2008.04.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18571417 }} </ref> | |||
*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.<ref name="pmid445923">{{cite journal| author=Schatzker J, McBroom R, Bruce D| title=The tibial plateau fracture. The Toronto experience 1968--1975. | journal=Clin Orthop Relat Res | year= 1979 | volume= | issue= 138 | pages= 94-104 | pmid=445923 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=445923 }} </ref> | |||
*X ray findings include:<ref name="pmid19325067">{{cite journal| author=Markhardt BK, Gross JM, Monu JU| title=Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 585-97 | pmid=19325067 | doi=10.1148/rg.292085078 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325067 }} </ref><ref name="pmid21394519">{{cite journal| author=te Stroet MA, Holla M, Biert J, van Kampen A| title=The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures. | journal=Emerg Radiol | year= 2011 | volume= 18 | issue= 4 | pages= 279-83 | pmid=21394519 | doi=10.1007/s10140-010-0932-5 | pmc=3139878 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21394519 }} </ref><ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref> | |||
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[[File:Xray tibial plateau.gif|400px|thumb|X ray of Knee showing Schatzker type VI tibial plateau fracture. Source: Case courtesy by: [[User:Rohan Bhimani|Dr. Rohan A. Bhimani]]]] | |||
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**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== | ||
Revision as of 20:06, 29 January 2019
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Tibial plateau fracture Microchapters |
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Treatment |
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Tibial plateau fracture x ray On the Web |
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American Roentgen Ray Society Images of Tibial plateau fracture x ray |
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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
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
- 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
- Antero-posterior view
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.