Tibial plateau fracture differential diagnosis: Difference between revisions

	Tibial plateau fracture Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Tibial plateau fracture from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Tibial plateau fracture differential diagnosis On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Tibial plateau fracture differential diagnosis All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Tibial plateau fracture differential diagnosis
CDC on Tibial plateau fracture differential diagnosis
Tibial plateau fracture differential diagnosis in the news
Blogs on Tibial plateau fracture differential diagnosis
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Tibial plateau fracture differential diagnosis

VisualWikitext

Latest revision as of 00:25, 30 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

Tibial plateau fracture must be differentiated from other causes of acute knee pain, restriction of movements, and deformity such as patella fracture, patella dislocation, knee dislocation, ligamentous injury such as anterior cruciate ligament, posterior cruciate ligament, collateral ligaments and meniscal injury

Differentiating Tibial Plateau Fracture from other Diseases

Tibial plateau fracture must be differentiated from other causes of acute knee pain, restriction of movements, and deformity such as patella fracture, patella dislocation, knee dislocation, ligamentous injury such as anterior cruciate ligament, posterior cruciate ligament, collateral ligaments and meniscal injury.^[1]^[2]^[3]^[4]^[5]

	Symptoms			Physical examination			Imaging
Diseases	Clinical manifestations						Para-clinical findings			Gold standard	Additional findings
	Symptoms			Physical examination			Para-clinical findings
	Pain	Restriction of Movements	Deformity	Tenderness	Integrity of extensor mechanism	Distal Pulses	X-ray	CT scan	MRI
Tibial plateau fracture	+	+	+/-	+	+	+/-	Fracture fragment displacement Fracture fragment angulation	Accurate diagnosis of fracture pattern ans aids in classification. Useful for preoperative surgical planning for patients with complex, multifragmentary fractures.	Useful in diagnosing occult fractures, ligamentous and soft tissue injuries	CT
Segond Fracture	+	+	-	+	+	+	Evidence of fracture on radiographs is usually seen	Evidence of fracture on CT scan is usually seen.	Soft tissue swelling and tear of the anterior cruciate ligament (ACL) accompanying the fracture is seen	MRI	It is pathgnomic of ACL tear
Patella Fracture	+	+	+	+	-	+	Fracture fragment displacement Fracture fragment angulation	CT confirms the x-ray finding.	Swelling and tear of the patellar tendon and the retinaculum may be seen Also helps to identify osteochondral fragments	X-ray	Inability to do straight leg raising test.
Tibial tuberosity avulsion fracture	+	+	+	+	-	+	Tuberosity avulsion and displacement is seen	CT confirms the x-ray finding	Helps to identify accompanying patellar tendon injury	X-ray	Inability to do straight leg raising test.
Patellar dislocation	+	+	+	+	+/-	+	Disclocated patella Subluxated patella Associated fractures	CT confirms x-ray findings	Identifies damage to medial patellofemoral ligament. Identifies damage to retinacular ligament and orientation of the surrounding muscles	MRI	Apprehension Test positive
Knee Dislocation	+	+	+	+	+/-	+/-	Type of knee dislocation Associated fractures	CT confirms the x-ray findings and shows any osteochondral injury	MRI shows damage to internal structures such as muscles, ligaments and neurovascular bundle.	MRI	Angiography of the lower limb is mandatory to check blood flow to the lower limb and decrease the chances of vascular insult
Diseases	Pain	Restriction of Movements	Deformity	Tenderness	Integrity of extensor mechanism	Distal Pulses	X-ray	CT scan	MRI	Gold standard	Additional findings
Meniscus Injury	+	+/-	-	+/-	+	+	Normal	Normal	It helps identify the type of tear and classify the tear. It also aids in management plan for meniscal injury.	MRI	McMurray's est positive for meniscal injury
Ligament Injuries (ACL, PCL, MCL, LCL)	+	+/-	-	+	+	+	Usually Normal It may show associated avulsion fracture	Normal	It helps to identify partial or complete tear It also aids in distinguishing acute versus chronic tears It may show signs of early degeneration and cartilage wear due to ligament injury	MRI	Lachman test and Anterior Drawer test positive in Anterior cruciate ligament tear (ACL) Posterior drawer test and Dial test positive for posterior cruciate ligament (PCL) Valgus stress test is positive for Medial Collateral Ligament (MCL) Varus stress test is positive for Lateral Collateral Ligament (LCL)
Quadriceps Tendon Rupture	+	+	+	+	-	+	Usually Normal It may show associated avulsion fracture	Normal	It shows degree of tear It also aids in surgical planning	MRI	Defect present superior to superior pole of patella
Osgood - Schlatter Disease	+	+	-	+	+	+	Fracture of tibial tuberosity apophysis is seen	CT confirms x-ray findings	Swelling and effusion of the joint may be seen	X-ray	Adolescents are commonly affected by the disease.
Peripheral Vascular Injuries	+	-	-	+	+	-	Normal	Normal	Normal	Doppler ultrasound	Doppler ultrasound and angiography of the lower limb confirms the disease
Maisonneuve Fracture	+	+	+	+	+	+	Fracture fragment displacement Fracture fragment angulation	CT confirms x-ray findings	Useful in diagnosing occult fractures, ligamentous and soft tissue injuries	X-ray	Foot drop may be present in few patients Electromyography and Nerve conduction studies done to check for any damage to commom peroneal nerve

References

↑ Karrasch C, Gallo RA (2014). "The acutely injured knee". Med Clin North Am. 98 (4): 719–36, xi. doi:10.1016/j.mcna.2014.03.002. PMID 24994048.
↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
↑ Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.
↑ Arnold MH (1995). "Fractures of the tibial plateau in the elderly as a cause of immobility". Aust N Z J Med. 25 (2): 178. PMID 7605307.
↑ Aurich M, Koenig V, Hofmann G (2018). "Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review". Asian J Surg. 41 (2): 99–105. doi:10.1016/j.asjsur.2016.11.011. PMID 28131634.

Template:WH Template:WS

[pmid24994048-1] Karrasch C, Gallo RA (2014). "The acutely injured knee". Med Clin North Am. 98 (4): 719–36, xi. doi:10.1016/j.mcna.2014.03.002. PMID 24994048.

[2] Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.

[3] Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.

[pmid7605307-4] Arnold MH (1995). "Fractures of the tibial plateau in the elderly as a cause of immobility". Aust N Z J Med. 25 (2): 178. PMID 7605307.

[pmid28131634-5] Aurich M, Koenig V, Hofmann G (2018). "Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review". Asian J Surg. 41 (2): 99–105. doi:10.1016/j.asjsur.2016.11.011. PMID 28131634.

[1]

[2]

[3]

[4]

[5]

@@ Line 1: / Line 1: @@
- __NOTOC__
+__NOTOC__
 {{Tibial plateau fracture}}
 {{CMG}}; {{AE}} {{Rohan}}
 ==Overview==
-Tibial plateau fracture must be differentiated from other causes of acute knee pain, [[restriction of movements]], and [[deformity]] such as patella fracture, patella dislocation, knee dislocation, [[Ligamentous laxity|ligamentous]]  injury such as anterior cruciate ligament, posterior cruciate ligament, collateral ligaments and meniscal injury
+Tibial plateau fracture must be differentiated from other causes of acute [[knee]] pain, [[restriction of movements]], and [[deformity]] such as [[patella fracture]], [[Patella|patella dislocation]], [[knee dislocation]], [[Ligamentous laxity|ligamentous]]  injury such as [[anterior cruciate ligament]], [[posterior cruciate ligament]], [[collateral]] ligaments and [[Tear of meniscus|meniscal]] injury
-==Differentiating Distal Radius Fracture from other Diseases==
+==Differentiating Tibial Plateau Fracture from other Diseases==
-* Tibial plateau fracture must be differentiated from other causes of acute knee pain, [[restriction of movements]], and [[deformity]] such as patella fracture, patella dislocation, knee dislocation, [[Ligamentous laxity|ligamentous]]  injury such as anterior cruciate ligament, posterior cruciate ligament, collateral ligaments and meniscal injury.<ref name="pmid24994048">{{cite journal| author=Karrasch C, Gallo RA| title=The acutely injured knee. | journal=Med Clin North Am | year= 2014 | volume= 98 | issue= 4 | pages= 719-36, xi | pmid=24994048 | doi=10.1016/j.mcna.2014.03.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24994048  }} </ref><ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref><ref name="pmid7605307">{{cite journal| author=Arnold MH| title=Fractures of the tibial plateau in the elderly as a cause of immobility. | journal=Aust N Z J Med | year= 1995 | volume= 25 | issue= 2 | pages= 178 | pmid=7605307 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7605307  }} </ref><ref name="pmid28131634">{{cite journal| author=Aurich M, Koenig V, Hofmann G| title=Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review. | journal=Asian J Surg | year= 2018 | volume= 41 | issue= 2 | pages= 99-105 | pmid=28131634 | doi=10.1016/j.asjsur.2016.11.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28131634  }} </ref>
+* Tibial plateau fracture must be differentiated from other causes of acute [[knee]] pain, [[restriction of movements]], and [[deformity]] such as [[patella fracture]], [[Dislocated patella|patella dislocation]], [[knee dislocation]], [[Ligamentous laxity|ligamentous]]  injury such as [[anterior cruciate ligament]], [[posterior cruciate ligament]], [[collateral]] ligaments and [[Tear of meniscus|meniscal injury]].<ref name="pmid24994048">{{cite journal| author=Karrasch C, Gallo RA| title=The acutely injured knee. | journal=Med Clin North Am | year= 2014 | volume= 98 | issue= 4 | pages= 719-36, xi | pmid=24994048 | doi=10.1016/j.mcna.2014.03.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24994048  }} </ref><ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref><ref name="pmid7605307">{{cite journal| author=Arnold MH| title=Fractures of the tibial plateau in the elderly as a cause of immobility. | journal=Aust N Z J Med | year= 1995 | volume= 25 | issue= 2 | pages= 178 | pmid=7605307 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7605307  }} </ref><ref name="pmid28131634">{{cite journal| author=Aurich M, Koenig V, Hofmann G| title=Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review. | journal=Asian J Surg | year= 2018 | volume= 41 | issue= 2 | pages= 99-105 | pmid=28131634 | doi=10.1016/j.asjsur.2016.11.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28131634  }} </ref>
 {|
@@ Line 40: / Line 40: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
 | style="background: #F5F5F5; padding: 5px;" |
-* Fracture fragment displacement
+* [[Fracture]] fragment displacement
-* Fracture fragment angulation
+* [[Fracture]] fragment angulation
 | style="background: #F5F5F5; padding: 5px;" |
-* Accurate diagnosis of fracture pattern ans aids in classification
+* Accurate diagnosis of [[Fracture|fractur]]<nowiki/>e pattern ans aids in [[classification]].
 * Useful for preoperative surgical planning for patients with complex, multifragmentary fractures.
 | style="background: #F5F5F5; padding: 5px;" |
 * Useful in diagnosing occult [[Bone fracture|fractures]], [[Ligamentous laxity|ligamentous]] and [[soft tissue]] injuries
-| style="background: #F5F5F5; padding: 5px;" |CT
+| style="background: #F5F5F5; padding: 5px;" |[[CT]]
 | style="background: #F5F5F5; padding: 5px;" |
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Segond Fracture
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |Segond [[Fracture]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
@@ Line 58: / Line 58: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Evidence of [[Bone fracture|fracture]] on radiographs is usually seen
+* Evidence of [[Bone fracture|fracture]] on [[Radiograph|radiographs]] is usually seen
 | style="background: #F5F5F5; padding: 5px;" |
-* Evidence of [[Bone fracture|fracture]] on CT scan is usually seen
+* Evidence of [[Bone fracture|fracture]] on [[CT]] scan is usually seen.
 | style="background: #F5F5F5; padding: 5px;" |
-* [[Soft tissue]] swelling and tear of the anterior cruciate ligament (ACL) accompanying the fracture is seen
+* [[Soft tissue]] swelling and tear of the [[anterior cruciate ligament]] (ACL) accompanying the [[fracture]] is seen
-| style="background: #F5F5F5; padding: 5px;" |MRI
+| style="background: #F5F5F5; padding: 5px;" |[[MRI scan|MRI]]
 | style="background: #F5F5F5; padding: 5px;" |
-* It is pathgnomic of  ACL tear
+* It is pathgnomic of  [[Anterior cruciate ligament|ACL]] tear
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Patella Fracture
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Patella fracture|Patella Fracture]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
@@ Line 75: / Line 75: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Fracture fragment displacement
+* [[Fracture]] fragment displacement
-* Fracture fragment angulation
+* [[Fracture]] fragment angulation
 | style="background: #F5F5F5; padding: 5px;" |
-* CT confirms the x-ray finding
+* [[CT]] confirms the [[x-ray]] finding.
 | style="background: #F5F5F5; padding: 5px;" |
-* Swelling and tear of the patellar tendon and the retinaculum may be seen
+* [[Swelling]] and [[tear]] of the [[patellar tendon]] and the [[retinaculum]] may be seen
 * Also helps to identify osteochondral fragments
-| style="background: #F5F5F5; padding: 5px;" |X-ray
+| style="background: #F5F5F5; padding: 5px;" |[[X-ray]]
 | style="background: #F5F5F5; padding: 5px;" |
-* Inability to do straight leg raising test.
+* Inability to do [[Straight leg raise|straight leg raising]] test.
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Tibial tuberosity avulsion fracture
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Tuberosity of the tibia|Tibial tuberosity]] [[avulsion fracture]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
@@ Line 94: / Line 94: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Tuberosity avulsion and displacement is seen
+* [[Tubercle (anatomy)|Tuberosity avulsion]] and displacement is seen
 | style="background: #F5F5F5; padding: 5px;" |
-* CT confirms the x-ray finding
+* [[CT]] confirms the [[x-ray]] finding
 | style="background: #F5F5F5; padding: 5px;" |
-* Helps to identify accompanying patellar tendon injury
+* Helps to identify accompanying [[Patellar tendon rupture|patellar tendon injury]]
-| style="background: #F5F5F5; padding: 5px;" |X-ray
+| style="background: #F5F5F5; padding: 5px;" |[[X-ray]]
 | style="background: #F5F5F5; padding: 5px;" |
-* Inability to do straight leg raising test.
+* Inability to do [[Straight leg raise|straight leg raising]] test.
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Patella dislocation
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dislocated patella|Patellar dislocation]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
@@ Line 111: / Line 111: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Disclocated patella
+* [[Dislocated patella|Disclocated patella]]
-* Subluxated patella
+* [[Subluxation|Subluxated]] [[patella]]
-* Associated fractures
+* Associated [[fractures]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* CT confirms x-ray findings
+* [[CT]] confirms [[x-ray]] findings
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Identifies damage to medial patellofemoral ligament.
 * Identifies damage to retinacular ligament and orientation of the surrounding muscles
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |MRI
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[MRI]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Apprehension Test positive
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Knee Dislocation
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Knee dislocation|Knee Dislocation]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
@@ Line 131: / Line 131: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Type of knee dislocation
+* Type of [[knee dislocation]]
-* Associated fractures
+* Associated [[fractures]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* CT confirms the x-ray  findings and shows any osteochondral injury
+* [[CT]] confirms the [[x-ray]]  findings and shows any osteochondral injury
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* MRI shows damage to internal structures such as muscles, ligaments and neurovascular bundle.
+* [[MRI]] shows damage to internal structures such as [[muscles]], [[ligaments]] and [[Neurovascular bundle|neurovascular]] bundle.
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |MRI
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[MRI]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Angiography of the lower limb is mandatory to check blood flow to the lower limb and decrease the chances of vascular insult
+* [[Angiography]] of the [[lower limb]] is mandatory to check [[blood flow]] to the [[lower limb]] and decrease the chances of [[Vascular injury|vascular insult]]
 |-
 |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
@@ Line 155: / Line 155: @@
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Additional findings
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Meniscus Injury
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Meniscus injuries|Meniscus Injury]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
@@ Line 167: / Line 167: @@
 * Normal
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* It helps identify the type of tear and classify the tear.
+* It helps identify the type of tear and classify the [[tear]].
-* It also aids in management plan for meniscal injury.
+* It also aids in management plan for [[Tear of meniscus|meniscal injury]].
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |MRI
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[MRI scan|MRI]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* McMurray Test positive for meniscal injury
+* [[McMurray's test|McMurray's est]] positive for [[Tear of meniscus|meniscal injury]]
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Ligament Injuries (ACL, PCL, MCL, LCL)
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Ligament]] Injuries ([[ACL]], [[PCL]], [[MCL]], [[Lateral collateral ligament|LCL]])
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
@@ Line 182: / Line 182: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Usually Normal
-* It may show associated avulsion fracture
+* It may show associated avulsion [[Bone fracture|fracture]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Normal
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* It helps to identify partial or complete tear
+* It helps to identify partial or complete [[tear]]
-* It also aids in distinguishing acute versus chronice tears
+* It also aids in distinguishing acute versus chronic [[tears]]
-* It may show signs of early degeneration and cartilage wear due  to ligament injury
+* It may show signs of early [[degeneration]] and [[Cartilage injuries|cartilage wear]] due  to [[ligament]] injury
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |MRI
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[MRI]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Lachmann Test and Anterior Drawer Test positive in Anterior cruciate ligament tear (ACL)
+* [[Lachman test]] and [[Drawer test|Anterior Drawer test]] positive in [[Anterior cruciate ligament injury|Anterior cruciate ligament tear]] (ACL)
-* Posterior drawer test and Dial test positive for posterior cruciate ligament (PCL)
+* [[Posterior drawer test]] and Dial test positive for [[posterior cruciate ligament]] (PCL)
-* Valgus stress test is positive for Medial Collateral Ligament (MCL)
+* [[Valgus]] stress test is positive for [[MCL|Medial Collateral Ligament]] (MCL)
-* Varus stress test is positive for Lateral Collateral Ligament (LCL)
+* [[Varus]] stress test is positive for [[Lateral collateral ligament|Lateral Collateral Ligament]] (LCL)
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Quadriceps Tendon Rupture
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Quadriceps tendon rupture|Quadriceps Tendon Rupture]]
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |-
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Usually Normal
-* It may show associated avulsion fracture
+* It may show associated avulsion [[fracture]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Normal
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* It shows degree of tear
+* It shows degree of [[tear]]
-* It also aids in surgical planning
+* It also aids in [[Surgery|surgical]] planning
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |MRI
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[MRI]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Defect present superior to superior pole of patella
+* Defect present superior to superior pole of [[patella]]
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Osgood - Schlatter Disease
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Osgood-Schlatter disease|Osgood - Schlatter Disease]]
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |-
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Fracture of tibial tuberosity apophysis is seen
+* [[Bone fracture|Fracture]] of [[Tuberosity of the tibia|tibial tuberosity]] apophysis is seen
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* CT confirms x-ray findings
+* [[CT]] confirms [[x-ray]] findings
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Sweeling and effusion of the joint ma be seen
+* [[Swelling]] and effusion of the [[Joint (anatomy)|joint]] may be seen
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |X-ray
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[X-ray]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Adolescents are commonly affected by the disease.
+* [[Adolescent|Adolescents]] are commonly affected by the disease.
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Peripheral Vascular Injuries
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peripheral Vascular Injuries]]
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |-
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |-
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |-
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Normal
@@ Line 245: / Line 245: @@
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Normal
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Doppler ultrasound
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Doppler ultrasound]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Doppler ultrasound and angiography of the lower limb confirms the disease
+* [[Doppler ultrasound]] and [[angiography]] of the [[lower limb]] confirms the [[disease]]
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Maisonneuve fracture
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Maisonneuve fracture|Maisonneuve Fracture]]
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |+
+| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Fracture fragment displacement
+* [[Bone fracture|Fracture]] fragment displacement
-* Fracture fragment angulation
+* [[Bone fracture|Fracture]] fragment angulation
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |CT confirms x-ray findings
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[CT]] confirms [[x-ray]] findings
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
 * Useful in diagnosing occult [[Bone fracture|fractures]], [[Ligamentous laxity|ligamentous]] and [[soft tissue]] injuries
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |X-ray
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[X-ray]]
 | style="background: #F5F5F5; padding: 5px; text-align: center;" |
-* Foot drop may be present in few patients
+* [[Foot drop]] may be present in few patients
-* Electromyography and Nerve conduction studies done to check for any damage to commom peroneal nerve
+* [[Electromyography]] and [[Nerve conduction study|Nerve conduction studies]] done to check for any damage to [[Common fibular nerve|commom peroneal nerve]]
 |}
@@ Line 275: / Line 275: @@
 [[Category:Orthopedics]]
 [[Category:Orthopedic surgery]]
-[[Category:Primary care]]
 [[Category:Fractures]]
 [[Category:Bone fractures]]

Tibial plateau fracture differential diagnosis: Difference between revisions

Latest revision as of 00:25, 30 July 2020

Overview

Differentiating Tibial Plateau Fracture from other Diseases

References

Navigation menu