Skeletal Trauma

Tibial Plateau Fracture

Tibial Plateau Fracture

Also known as "fender" or "bumper" fractures, tibial plateau fractures most often are the result of a moving vehicle striking the knee.
Plateau fractures (medial and lateral) are the most common fracture sustained at the proximal tibia.
When depression is not present, fracture may be difficult to recognize with standard radiographic exam. Alternative views and/or CT may be required for diagnosis.
CT with multiplanar reconstruction (MPR) can be useful to help understand the anatomy of the fracture in 3D.
Associated damage to the anterior cruciate ligament, medial collateral ligament and medial meniscus is common due to valgus stress placed on the knee during injury.
Postraumatic arthritis and malunion can result.

Tibial Plateau Fracture

Lateral Tibial Plateau Fracture