Tibial plateau fracture differential diagnosis

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 differential diagnosis 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 differential diagnosis 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 differential diagnosis
CDC on Tibial plateau fracture differential diagnosis
Tibial plateau fracture differential diagnosis in the news
Blogs on Tibial plateau fracture differential diagnosis
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Tibial plateau fracture differential diagnosis

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

Tibial plateau fracture must be differentiated from wrist strain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear.

Differentiating Distal Radius Fracture from other Diseases

• Tibial plateau fracture must be differentiated from other diseases that wrist pain, restriction of movements, and deformity, such as wrist strain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear.

Diseases	Clinical manifestations						Para-clinical findings			Gold standard	Additional findings
	Symptoms			Physical examination
							Imaging
	Pain	Restriction of Movements	Deformity	Tenderness	Decreased Grip Strength	Decreased sensation in course of Median nerve	X-ray	CT scan	MRI
Tibial plateau fracture	+	+	+	+	+	+/-	Distal fragment displacement Distal fragment angulation Radial shortening	Useful for preoperative surgical planning for patients with complex, multifragmentary fractures.	Useful in diagnosing occult fractures, ligamentous and soft tissue injuries	X-ray
Wrist strain	+	+	-	+	-	-	No evidence of fracture on radiographs	No evidence of fracture on CT	Soft tissue swelling and tear may be seen	MRI
Ligamentous carpal injury	+	+	+/-	+	-	-	No evidence of fracture on radiographs	No evidence of fracture on CT	Swelling and tear of the ligament may be seen	MRI	Most common injury is scapholunate ligament tear with widening of the scapholunate interval. Positive Watson shift test.
Triangular fibrocartilage complex (TFCC) tear	+	+/-	-	+	-	-	No evidence of fracture on radiographs	No evidence of fracture on CT	Swelling and tear of the ligament may be seen	MRI	Wrist arthroscopy can be useful in visualizing and repairing TFCC tear