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HPI
A 38-year-old male presents with left knee pain after falling off of his skateboard onto a planted foot. He experienced immediate pain and deformity of the left knee.
PMH
None
PE
On exam the left knee skin is intact. There is a moderate intra-articular effusion, mild soft tissue swelling, and the compartments of the leg are soft and compressible. There is TTP over the lateral aspect of the proximal tibia. ROM is 5-90 degrees, limited by pain. There is an intact straight leg raise. Neurovascular status is intact distally.
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Open reduction and internal fixation of lateral split-depression tibial plateau fracture