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This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces.3 A low energy injury, these fractures are more frequent in the 4th and 5th decades of life and individuals with osteoporotic changes in bone.
compression fracture of lateral tibial plateau: forced valgus of knee when struck from side by car bumper: Bumper fracture at TheFreeDictionary.com: Chance fracture: George Quentin Chance: horizontal fracture of vertebral body: hyperflexion of spine, seen in car accidents when lap belts were used: Chance fracture at Wheeless' Textbook of ...
One meniscus rests on the medial tibial plateau; this is the medial meniscus. The other meniscus rests on the lateral tibial plateau; this is the lateral meniscus. [3] [4] The menisci are nourished by small blood vessels but have a large area in the center with no direct blood supply (avascular).
Originally described by Dr. Paul Segond in 1879 [6] [7] after a series of cadaveric experiments, the Segond fracture occurs in association with tears of the anterior cruciate ligament (ACL) (75–100%) and injury to the medial meniscus (66–75%), lateral capsular ligament (now known as the Anterolateral ligament, or ALL), as well as injury to the structures behind the knee.
If anterior cruciate ligament injury is suspected, radiographic imaging should also be ordered because it is frequently associated with lateral tibial plateau fracture. If there is a painful, reddish, and warm swelling in front of the patella, acute prepatellar bursitis should be considered which may require aspiration or drainage. Those ...
On coronal images, it is diagnosed when the horizontal measurement between the free margin and the periphery of the body is more than 1.4 cm. [2] Rarely, X-ray may show lateral joint space widening, squaring of the lateral condyle, cupping of the lateral tibial plateau and hypoplasia of the lateral tibial spine that suggest discoid meniscus.
The patella plays no significant role in the posterolateral corner. The bony shape of the posterolateral knee, with the two convex opposing surfaces of the lateral femoral condyle and the lateral tibial plateau, makes this portion of the knee inherently unstable compared to the medial aspect. Thus, it has a much higher risk of not healing ...
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 posterior fragments [16]