Monday 27 February 2017

MCQ for tibial plateau fracture



Answer. D. The image shows a fracture of the vertical lateral condyle
Tibial plateau injury:
Fractures of the tibial plateau are caused by a varus or valgus force combined with axial loading (a pure valgus force is more likely to rupture the ligaments). This is sometimes the result of a car striking a pedestrian (hence the term ‘bumper fracture’); more often it is due to a fall from a height in which the knee is forced into valgus or varus.
The fractures are classified based on Schatzker classification.
Type 1: vertical split of lateral condyle
Type 2 – a vertical split of the lateral condyle combined withdepression of an adjacent loadbearing part of the condyle
Type 3 – depression of the articular surface with an intactcondylar rim
Type 4 – fracture of the medial tibial condyle (as shown in the image in MCQ)

Type 5 – fracture of both condyles