This poster is published under an
open license. Please read the
disclaimer for further details.
Type:
Educational Exhibit
Keywords:
Trauma, Outcomes, Education and training, Education, Conventional radiography, CT, Musculoskeletal joint, Musculoskeletal bone
Authors:
S. L. Coleman, R. Parisien, A. Guermazi, A. Murakami; Boston, MA/US
DOI:
10.1594/ecr2015/C-1752
Background
Background:
The earliest attempt at tibial plateau fracture classification was based on the observation of common themes and three fracture types were described: split of a condyle,
subchondral depression,
and comminuted bicondylar involvement.
(1,2)
Schatzker et al.
presented their classification system in 1979,
which was created based on findings from AP radiographs.
The Schatzker group created 6 groups of tibial plateau fractures based on fracture pattern,
which helped to direct operative versus non-operative treatment.
(2)
The AO system is part of a larger system of classification of bone fractures throughout the body,
meant to categorize the fracture by localization and severity and to predict treatment and prognosis.
Radiograph Views for Evaluation of Tibial Plateau Fracture:
AP
Lateral
Two 45 degrees internal oblique views
10-15 degree caudally tilted AP view
Fig. 1: AP, Lateral, Caudal AP, and Internal Oblique views
What to look for on radiograph views:
Fracture patterns
Depression
Condylar widening
Injuries to suggest ligamentous injury (i.e.
Segond fracture,
Pellegrini-Stieda lesion,
and fibular head avulsion)