Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment

Markhardt, B. Keegan; Gross, Jonathan M.; Monu, Johnny U. V.

doi:10.1148/rg.292085078

Cited by 190 publications

(126 citation statements)

References 22 publications

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“…In agreement with Wicky et al (11) and Markhardt et al (12), whose studies confirmed that CT showed tibial plateau fractures more accurately and enabled greater precision of preoperative planning, there was no statistically significant change in relation to operative planning in the present study after viewing the CT.…”

Section: Discussionsupporting

confidence: 93%

Multi-detector computed tomography assessment of the tibial plateau fractures

Kharboutly

2015

The Egyptian Journal of Radiology and Nuclear Medicine

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Objective: The purpose of our study was to assess the role of multi-detector CT in the evaluation of tibial plateau fractures. Subjects and methods: The study included twenty patients with fractures of the tibial plateau shown on computed tomographic images. All patients subjected to non-contrast MDCT in axial cuts and images are transferred to workstation; then they underwent coronal, sagittal reconstructed images and 3-D volume rendering that are of benefit in final diagnosis. Results: A total of 20 patients were included (their mean age 27 years). It was found that the most common type is type II according to Schatzker classification, followed by type I. Conclusion: The use of MDCT is advised for the accurate classification of tibial plateau fractures and so the management decision.

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Section: Discussionsupporting

confidence: 93%

Multi-detector computed tomography assessment of the tibial plateau fractures

Kharboutly

2015

The Egyptian Journal of Radiology and Nuclear Medicine

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“…It has been reported that a plain anteroposterior radiograph depicting a lateral plateau depression ]14 mm and/or a lateral plateau widening ]10 mm was associated with a significantly increased risk of meniscal injury in Schatzker type II tibial plateau fractures [6]. Many investigators have found that surgical plans based on plain radiographic findings were modified after preoperative computed tomography or magnetic resonance imaging [13,29]. Schatzker II fractures with depression or widening approaching 5 mm deserve heightened vigilance in diagnosing the soft tissue injuries [7].…”

Section: Discussionmentioning

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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“…The mechanism of fracture is typically indirect and accompanied by axial loading, resulting in compression and angular forces that cause split or metaphyseal fractures [3]. In addition, meniscal lesions, medial and lateral collateral ligament injuries, and cruciate ligament injuries are reported with tibial plateau fractures, with rates of up to 60% [4] [5]. Vangness et al reported that 47% of tibial plateau fractures were accompanied by meniscal injuries [6].…”

Section: Introductionmentioning

confidence: 99%

Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

Arslan¹,

Polat²,

Ciliz³

et al. 2015

OJO

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The purpose of this study was to evaluate factors that affect initiation of early postoperative range of motion (ROM) rehabilitation and to investigate whether the postoperative ROM and clinical outcomes were affected by initiation of early ROM, immobilization and other factors. We conducted a retrospective analysis of tibial plateau fractures treated using stable internal fixation between December 2003 and June 2007. The resulting degree of flexion and Rasmussen Clinical and Radiographic Scores were evaluated. Thirty-nine patients were included, and 23 patients underwent a lateral submeniscal arthrotomy for evaluation of joint surface reduction, with 6 lateral meniscus lesions identified via arthrotomy. Three lateral collateral ligament lesions, 3 medial collateral ligament lesions and 1 anterior cruciate ligament lesion were found. Meniscus and ligament lesions significantly and negatively affected the initiation of knee joint ROM. Early ROM was achieved in 26 cases and 13 patients underwent immobilization for 4 weeks. At the final evaluation, the early ROM group had 130.42˚ ± 5.50˚ of flexion, compared with 122.92˚ ± 5.28˚ in the immobilization group. Moreover, the final Rasmussen score was 25.69 ± 2.92 in the early motion group, compared with 22.61 ± 3.5 in the immobilization group. There was no difference between radiographic scores of the groups. Although the initiation of early ROM improved the clinical results, soft tissue lesions influenced initiation of early knee joint motion. Therefore, meniscus and ligament injuries should be considered as prognostic factors in similar cases.

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Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment

Cited by 190 publications

References 22 publications

Multi-detector computed tomography assessment of the tibial plateau fractures

Multi-detector computed tomography assessment of the tibial plateau fractures

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

Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

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