AIM To determine the location of medial tibial plateau stress fractures and its relationship with tibial plateau morphology using magnetic resonance imaging(MRI).METHODS A retrospective review of patients with a diagn...AIM To determine the location of medial tibial plateau stress fractures and its relationship with tibial plateau morphology using magnetic resonance imaging(MRI).METHODS A retrospective review of patients with a diagnosis of stress fracture of the medial tibial plateau was performed for a 5-year period. Fourteen patients [three female and 11 male, with an average age of 36.4 years(range, 15-50 years)], who underwent knee MRI, were included. The appearance of the tibial plateau stress fracture and the geometry of the tibial plateau were reviewed and measured on MRI.RESULTS Thirteen of 14 stress fractures were linear, and one of them stellated on MRI images. The location of fractures was classified into three types. Three fractures were located anteromedially(AM type), six posteromedially(PM type), and five posteriorly(P type) at the medial tibial plateau. In addition, tibial posterior slope at the medial tibial plateau tended to be larger when the fracture was located more posteriorly on MRI.CONCLUSION We found that MRI showed three different localizations of medial tibial plateau stress fractures, which were associated with tibial posterior slope at the medial tibial plateau.展开更多
Tibial plateau fractures represent approximately 1% of all fractures which have been reported to commonly accompany by soft tissue injuriesY1 Neglect or missed diagnosis of such soft tissue injuries have negative effe...Tibial plateau fractures represent approximately 1% of all fractures which have been reported to commonly accompany by soft tissue injuriesY1 Neglect or missed diagnosis of such soft tissue injuries have negative effects on clinical outcome. In this article, we report a rare case of tibial plateau fracture combined with extensive soft tissue injuries, including bucket-handle tears （BHTs） of both the medial meniscus （MM） and the lateral meniscus （LM）. The patient also had an anterior cruciate ligament （ACL） tibial avulsion fracture, which led to the formation of a loose body in the joint. If left untreated, all of these concomitant injuries could cause unpleasant residual symptoms, such as joint locking and loss of extension.展开更多
文摘AIM To determine the location of medial tibial plateau stress fractures and its relationship with tibial plateau morphology using magnetic resonance imaging(MRI).METHODS A retrospective review of patients with a diagnosis of stress fracture of the medial tibial plateau was performed for a 5-year period. Fourteen patients [three female and 11 male, with an average age of 36.4 years(range, 15-50 years)], who underwent knee MRI, were included. The appearance of the tibial plateau stress fracture and the geometry of the tibial plateau were reviewed and measured on MRI.RESULTS Thirteen of 14 stress fractures were linear, and one of them stellated on MRI images. The location of fractures was classified into three types. Three fractures were located anteromedially(AM type), six posteromedially(PM type), and five posteriorly(P type) at the medial tibial plateau. In addition, tibial posterior slope at the medial tibial plateau tended to be larger when the fracture was located more posteriorly on MRI.CONCLUSION We found that MRI showed three different localizations of medial tibial plateau stress fractures, which were associated with tibial posterior slope at the medial tibial plateau.
文摘Tibial plateau fractures represent approximately 1% of all fractures which have been reported to commonly accompany by soft tissue injuriesY1 Neglect or missed diagnosis of such soft tissue injuries have negative effects on clinical outcome. In this article, we report a rare case of tibial plateau fracture combined with extensive soft tissue injuries, including bucket-handle tears （BHTs） of both the medial meniscus （MM） and the lateral meniscus （LM）. The patient also had an anterior cruciate ligament （ACL） tibial avulsion fracture, which led to the formation of a loose body in the joint. If left untreated, all of these concomitant injuries could cause unpleasant residual symptoms, such as joint locking and loss of extension.
