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Review Question - QID 437

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QID 437 (Type "437" in App Search)
Based on the following radiographs of tibial plateau fractures, which one is most likely to have a concomitant medial meniscus tear?
  • A
  • B
  • C
  • D
  • E

A

1%

29/2593

B

3%

72/2593

C

1%

18/2593

D

86%

2231/2593

E

9%

228/2593

  • A
  • B
  • C
  • D
  • E

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Figure D shows a medial tibia plateau fracture (Shatzker IV). Gardner et al reviewed a 103 consecutive tibial plateau fractures to evaluate for associated soft tissue injury prevelance. The authors found that patients had a medial meniscal tear when they had a medial fracture (Shatzker IV) 86% of the time. To review the Shatzker classification of tibial plateau fracture: I) lateral split II) lateral split depression III) lateral compression (no split) IV) medial fracture V) bicondylar VI) metaphyseal dissociation. The correct choice makes intuitive sense since one would expect concomitant soft tissue injury with the bony fracture. Lateral meniscus pathology is the most common overall soft tissue injury with tibial plateau fractures (91%).

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