![]() ![]() Blood in the soft tissues and knee joint ( hemarthrosis) may lead to bruising and a doughy feel of the knee joint. Tibial plateau fractures typically presents with knee effusion, swelling of the knee or fragmentation of the tibia which leads to loss of its normal structural appearance. In the 1920s they were called a "fender fracture" due to their association with people being hit by a motor vehicle while walking. ![]() They occur most commonly in middle aged males and older females. Occasionally, if the bones are well aligned and the ligaments of the knee are intact, people may be treated without surgery. In those who are otherwise healthy, treatment is generally by surgery. Pain may be managed with NSAIDs, opioids, and splinting. Some fractures may not be seen on plain X-rays. Diagnosis is typically suspected based on symptoms and confirmed with X-rays and a CT scan. Risk factors include osteoporosis and certain sports such as skiing. The cause is typically trauma such as a fall or motor vehicle collision. ![]() Complication may include injury to the artery or nerve, arthritis, and compartment syndrome. Symptoms include pain, swelling, and a decreased ability to move the knee. Patella fracture, fibular fracture, anterior cruciate ligament injury Ī tibial plateau fracture is a break of the upper part of the tibia (shinbone) that involves the knee joint. Suspected based on symptoms, confirmed with X-rays and CT scan Injury to the artery or nerve, compartment syndrome Pain, swelling, decreased ability to move the knee Medical condition Tibial plateau fractureĪ severe tibial plateau fracture with an associated fibular head fracture ![]()
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