Injuries to the posterolateral aspect of the knee accompanied by compression fracture of the anterior part of the medial tibial plateau

Chiba, Takeshi; Sugita, Takehiko; Onuma, Masahiro; Kawamata, Toru; Umehara, Jutaro

doi:10.1053/jars.2001.22362

Cited by 35 publications

(37 citation statements)

References 11 publications

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“…An analogous injury has been described in the sports medicine literature in which a hyperextension varus mechanism results in an anteromedial impaction fracture injury with an associated posterolateral corner injury and/or a posterior cruciate ligament disruption. 7,8 What we have observed with a similar mechanism is instead a bony tension failure of the posterior cortex of the proximal tibia, with an anterior compression fracture through the metaphysis of the proximal tibia, creating a sagittal plane deformity in which the normal posterior slope of the tibial articular surface is decreased or reversed. Of note, the posterior slope of the proximal tibia in the sagittal plane is 8-12 degrees.…”

Section: Introductionmentioning

confidence: 64%

Hyperextension Varus Bicondylar Tibial Plateau Fracture Pattern

Firoozabadi

Schneidkraut

Beingessner

et al. 2016

Journal of Orthopaedic Trauma

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Section: Introductionmentioning

confidence: 64%

Hyperextension Varus Bicondylar Tibial Plateau Fracture Pattern

Firoozabadi

Schneidkraut

Beingessner

et al. 2016

Journal of Orthopaedic Trauma

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“…They are commonly classified by the Schatzker system, which is based on the appearance on the anteroposterior radiograph [1,2]. It has been reported that tibial plateau fracture is accompanied with the meniscus and ligament disorders and associated soft tissue lesions may influence the knee stability [3][4][5]. Although the effect of primary treatment of concomitant ligament is unclear, stabilizing the injured soft tissue structures with tibial plateau fracture may have a significant effect on postoperative morbidity and functional recovery.…”

Section: Introductionmentioning

confidence: 99%

The distinct prediction standards for radiological assessments associated with soft tissue injuries in the acute tibial plateau fracture

Wang

Wei

Wang

2015

Eur J Orthop Surg Traumatol

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The goal of this study was to assess the incidence of soft tissue injury in the tibial plateau fracture by magnetic resonance image (MRI) and reveal the relationship between the articular widening/depression and the risk of meniscus and ligament disorder. A total of 54 patients with tibial plateau fracture were indicated for operative intervention. Soft tissue injuries were assessed by MRI. Meniscus, anterior/posterior cruciate ligaments and medial/lateral collateral ligaments injuries on MRI were evaluated. The articular widening/depression was measured in picture archiving and communication systems. Schatzker classification of fracture types was not significantly associated with soft tissue injuries. The rates of soft tissue injury in types IV and II (respectively, 85.7 and 74.1 %) were higher than those in other types. The meniscus injury was the most common soft tissue damage, and the incidence of meniscus injury was 55.6 %. When LPDCT and LPWCT were, respectively, about 7.6 mm and 10.1 mm and LPDX-ray and LPWX-ray, respectively, 5.6 and 7.4 mm, more attention should be paid on the collateral and cruciate ligament injuries in types I, II and III. Furthermore, when LPWCT and LPWX-ray were, respectively, about 10.3 and 8.6 mm, the collateral and cruciate ligaments were susceptible to injury in types IV and V. In conclusion, tibial plateau fracture can occur high morbidity of soft tissue injury, including meniscus and ligament disorder. X-ray and CT scan had different predicting standards for soft tissue injury, and the articular widening/depression in the tibial plateau was associated with meniscus and ligament injuries.

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“…[6][7][8] In 2001, Chiba et al showed 12 cases of this injury type, which was the largest series so far. 9 They considered that a minor fracture compression of the anteromedial tibial plateau implies an accompanying PCL injury. The Segond fracture is the proximal lateral tibial avulsion fracture along with the ACL injury.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopy-assisted surgery: The management of posterolateral tibial plateau depression fracture accompanying ligament injury: A case series and review of the literature

Wang

Zheng-Lin

Jin

et al. 2019

J Orthop Surg (Hong Kong)

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Tibial plateau fractures are multiple fracture patterns associated with soft-tissue injuries. Among which, the combined existence of posterolateral tibial plateau depression fracture with anterior cruciate ligament (ACL) rupture has been reported rarely. Meanwhile, surgical method for the treatment of depression fracture is fairly complex. The aim of this article is to show a case series of this unusual injury pattern and the therapy of posterolateral tibial plateau depression fracture accompanying ACL rupture. In our treatment, arthroscopy assisted reduction of depression fracture and ACL reconstruction reduces surgical trauma and leads to good functional recovery. We also review the current literature.

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Injuries to the posterolateral aspect of the knee accompanied by compression fracture of the anterior part of the medial tibial plateau

Cited by 35 publications

References 11 publications

Hyperextension Varus Bicondylar Tibial Plateau Fracture Pattern

Hyperextension Varus Bicondylar Tibial Plateau Fracture Pattern

The distinct prediction standards for radiological assessments associated with soft tissue injuries in the acute tibial plateau fracture

Arthroscopy-assisted surgery: The management of posterolateral tibial plateau depression fracture accompanying ligament injury: A case series and review of the literature

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