Use mouse wheel, arrow keys or left click (with scroll tool selected) to scroll
ui.case.use_touch_gestures
DICOM HelpSource: Local (us-east1-c)
Keyboard shortcuts (Alt+K)
Demographics:
65 years old, Female
Indication:
Trauma
Findings
- Acute minimally displaced transverse proximal tibial metadiaphyseal fracture with intraarticular extension into the medial and lateral tibial plateaus
- Approximately 6 mm depression of the lateral tibial plateau
- Acute minimally displaced oblique fibular head/neck fracture
- Moderate lipohemarthrosis
- Surrounding soft tissue swelling
- Small superior patellar enthesophyte
Diagnosis
Tibial plateau fracture (Schatzker VI)
Sample Report
Acute minimally displaced transverse proximal tibial metadiaphyseal fracture with intraarticular extension into the medial and lateral tibial plateaus (Schatzker VI). Approximately 6 mm depression of the lateral tibial plateau. Consider CT for further evaluation.
Acute minimally displaced oblique fibular head/neck fracture.
Moderate lipohemarthrosis.
Surrounding soft tissue swelling.
Small superior patellar enthesophyte.
Discussion
- Tibial plateau fractures are most commonly characterized using the Schatzker classification, which classifies fractures by increasing severity of injury as well as increasing likelihood of poor outcome
- While it is not necessary to provide a Schatzker classification in your report, it is helpful to understand the classification scheme as it can help you create reports that are more readable for your referring surgeons. Note that the lateral plateau is injured with less severe trauma than the medial plateau
- Here is an overview of the Schatzker classification:
- I – Lateral plateau fracture with < 4 mm depression or displacement
- II – Lateral plateau fracture with depression or displacement > 4 mm
- III – Pure compression fracture of the lateral plateau
- IV – Medial plateau fracture with depression or split component
- V – Medial and lateral plateau fractures
- VI – Any of the above in addition to a transverse subcondylar fracture resulting in isolation of the metaphysis from the diaphysis