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Review Question - QID 456

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QID 456 (Type "456" in App Search)
A 40-year-old female sustains the injury seen in Figure A. What other associated soft-tissue knee injury is most commonly associated with this fracture?
  • A

Anterior cruciate ligament midsubstance tear

5%

91/1982

Horizontal cleavage lateral meniscus tear

9%

188/1982

Peripheral lateral meniscus tear

71%

1404/1982

Lateral collateral ligament and popliteofibular ligament tear

4%

72/1982

Lateral meniscus posterior root avulsion

11%

222/1982

  • A

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Figure A shows a displaced Schatzker II (lateral split-depression) tibial plateau fracture. These injuries are commonly associated with peripheral meniscal tears.

According to the referenced article by Abdel-Hamid et al, the overall incidence of associated soft tissue injuries of the knee in tibial plateau fractures is 71%. The incidence of each injury in their study was: meniscal tears (57% - usually peripheral tears), ACL (25% - more common in more severe fractures), PCL (5%), LCL (3%), MCL (3%), peroneal nerve (1%). No vascular injury was seen in their collection of 98 patients.

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