Tibial plateau fracture CT scan

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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

computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs. CT is important to identify articular depression and comminution. CT also helps in fracture fragment orientation and surgical planning.

CT scan

  • computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs.[1][2][1][3]
  • CT confirms x ray findings.
  • CT is important to identify articular depression and comminution.
  • Presence of lipohemarthrosis indicates an occult fracture.
  • In addition, CT also helps in fracture fragment orientation and surgical planning.
CT scan coronal Tibia coronal view with intra articular commintuin. Source: Case courtesy by: Dr. Rohan A. Bhimani
CT scan Tibia AP view. Source: Case courtesy by: Dr. Rohan A. Bhimani

References

  1. 1.0 1.1 Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Yagan R (1994). "Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT". AJR Am J Roentgenol. 163 (1): 141–7. doi:10.2214/ajr.163.1.8010201. PMID 8010201.
  2. Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  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.

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