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This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee. Represent 10% of all tibial plateau fractures. There is high risk of damage to the popliteal artery and peroneal nerve and therefore carry a worse prognosis.
Lesions in the tibial plateau, hip, ankle, and wrist are often missed. In a tibial plateau fracture, any disruption of the posterior and anterior cortical rims of the plateau should be sought. Impaction of subchondral bone will appear as an increased sclerosis of the subchondral bone (Figure 1).
The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau. On the medial femoral condyle there are three bony landmarks that are important: the medial epicondyle, adductor tubercle, and gastrocnemius tubercle. The medial epicondyle is the most distal and anterior prominence.
Fractures of the knee are less common but should be considered if direct trauma to the knee has occurred such as during a fall. Examples of fractures involving knee joints are: tibial plateau fractures, fractures of the lateral condyle of femur, medial condyle of femur, and patellar fractures. [1]
radius shaft fracture with dislocation of distal radioulnar joint: blow to forearm: Galeazzi fracture at eMedicine: Gosselin fracture: Leon Athanese Gosselin: V-shaped distal tibia fracture extending into the tibial plafond: Gosselin's fracture at TheFreeDictionary.com: Hangman's fracture: Hangman: fracture of both pedicles of C2: distraction ...
They used six non-paired fresh-frozen cadaveric knees. A surgical approach to the medial side of the knee was performed using the layered approach. X-Ray analysis was performed by measuring the distance from the proximal part of the marking to the medial tibial plateau, multilayered views and comparison to the original X-rays by
Localised tenderness over the medial knee is the most common finding of the condition. It is usually happening on one side, without a previous history of trauma. SONK should be considered together with differential diagnosis of osteoarthritis, tear of medial meniscus, and tibial plateau fracture. SONK usually has a sudden onset of knee pain ...
Patella fracture; Crus fracture. Tibia fracture. Pilon fracture; Tibial plateau fracture; Bumper fracture – a fracture of the lateral tibial plateau caused by a forced valgus applied to the knee; Segond fracture – an avulsion fracture of the lateral tibial condyle; Gosselin fracture – a fractures of the tibial plafond into anterior and ...