Tibial plateau fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Jumped off a wall. Sore right knee. Able to weight bear.

Patient Data

Age: 30
Gender: Male
x-ray

Large lipohemarthrosis. No definite fracture is seen.

ct

Small impacted fracture of the posterolateral tibial plateau with lipohemarthrosis.

Case Discussion

Lipohemarthrosis is a specific but not sensitive indicator of intra-articular fracture of the knee. The presence of one should always prompt a thorough search for a fracture.

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