Tibial plateau fracture physical examination: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
(Created page with " __NOTOC__ {{Tibial plateau fracture}} {{CMG}} {{AE}} {{Rohan}} ==Overview== Patients with tibial plateau fracture usually appears well. Physical examination of patients with...")
 
m (Bot: Removing from Primary care)
 
(4 intermediate revisions by one other user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Tibial plateau fracture}}
{{Tibial plateau fracture}}
{{CMG}} {{AE}} {{Rohan}}
{{CMG}} {{AE}} {{Rohan}}
Line 7: Line 7:


==Physical Examination==
==Physical Examination==
Physical examination of patients with tibial plateau fracture is usually remarkable for [[swelling]], [[tenderness]], [[Bruise|bruises]], [[ecchymosis]], {| align="right"
Physical examination of patients with tibial plateau fracture is usually remarkable for [[swelling]], [[tenderness]], [[Bruise|bruises]], [[ecchymosis]],  
{| align="right"
|
|
[[File:Tibia clinical image.JPG|400px|thumb|Clinical image of tibial plateau fracture showing swelling and ecchymosis. Source: Case courtesy by: [[User:Rohan Bhimani|Dr. Rohan A. Bhimani]]]]
[[File:Tibia clinical image.JPG|400px|thumb|Clinical image of tibial plateau fracture showing swelling and ecchymosis. Source: Case courtesy by: [[User:Rohan Bhimani|Dr. Rohan A. Bhimani]]]]
|-
|-
|
[[File:External fixation for Distsal end radius.jpg|200px|thumb|Fragment specific fixation for distal end radius. Source: Case courtesy by: [[User:Rohan Bhimani|Dr. Rohan A. Bhimani]]]]
|}
|}


Line 24: Line 23:


===Skin===
===Skin===
* Skin examination of patients with distal radius fracture includes:
* [[Skin]] examination of patients with distal radius fracture includes:
** [[Bruise|Bruises]]
** [[Bruise|Bruises]]
** [[Ecchymosis]]
** [[Ecchymosis]]
Line 33: Line 32:


===Neck===
===Neck===
* Neck examination of patients with tibial plateau fracture is normal.
* [[Neck]] examination of patients with tibial plateau fracture is normal.


===Lungs===
===Lungs===
* Pulmonary examination of patients with tibial plateau fracture is usually normal.
* [[Pulmonary]] examination of patients with tibial plateau fracture is usually normal.


===Heart===
===Heart===
* Cardiovascular examination of patients with tibial plateau fracture is usually normal.
* [[Cardiovascular]] examination of patients with tibial plateau fracture is usually normal.


===Abdomen===
===Abdomen===
* Abdominal examination of patients with tibial plateau fracture is usually normal.
* [[Abdomen|Abdominal]] examination of patients with tibial plateau fracture is usually normal.


===Back===
===Back===
* Back examination of patients with tibial plateau fracture is usually normal.
* [[Back]] examination of patients with tibial plateau fracture is usually normal.


===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with tibial plateau fracture is usually normal.
* [[Genitourinary]] examination of patients with tibial plateau fracture is usually normal.


===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with tibial plateau fracture is usually normal.
* [[Neuromuscular]] examination of patients with tibial plateau fracture is usually normal.
* However, some patients may develop [[neuropraxia]] of the [[deep peroneal nerve]] and [[tibial nerve]] resulting in decreased sensation of toes, foot and leg.
* However, some patients may develop [[neuropraxia]] of the [[deep peroneal nerve]] and [[tibial nerve]] resulting in decreased sensation of toes, foot and leg.


===Extremities===
===Extremities===
{| align="right"
* [[Knee]] examination of patients with tibial plateau fracture include:<ref name="pmid30059369">{{cite journal| author=Ramponi DR, McSwigan T| title=Tibial Plateau Fractures. | journal=Adv Emerg Nurs J | year= 2018 | volume= 40 | issue= 3 | pages= 155-161 | pmid=30059369 | doi=10.1097/TME.0000000000000194 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30059369 }} </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 name="pmid27984441">{{cite journal| author=Singleton N, Sahakian V, Muir D| title=Outcome After Tibial Plateau Fracture: How Important Is Restoration of Articular Congruity? | journal=J Orthop Trauma | year= 2017 | volume= 31 | issue= 3 | pages= 158-163 | pmid=27984441 | doi=10.1097/BOT.0000000000000762 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27984441 }} </ref><ref name="pmid27914662">{{cite journal| author=Dubina AG, Paryavi E, Manson TT, Allmon C, O'Toole RV| title=Surgical site infection in tibial plateau fractures with ipsilateral compartment syndrome. | journal=Injury | year= 2017 | volume= 48 | issue= 2 | pages= 495-500 | pmid=27914662 | doi=10.1016/j.injury.2016.10.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27914662 }} </ref>
|
[[File:Dinner fork Deformity.jpg|300px|thumb|Dinner fork deformity following distal radius fracture. [https://en.wikipedia.org/wiki/Distal_radius_fracture#/media/File:Distalradiusfracture.jpgSource: By Todd, Robert Bentley, 1809-1860 - Image from page 732 of "The cyclopædia of anatomy and physiology" (1849)https://www.flickr.com/photos/internetarchivebookimages/20635126888/in/photolist-c91vG3-cpsGi1-xrsqiN/, Public Domain, https://commons.wikimedia.org/w/index.php?curid=63779916]]]
|}
* [[Knee]] examination of patients with tibial plateau fracture include:<ref name="pmid16376003">{{cite journal| author=Bienek T, Kusz D, Cielinski L| title=Peripheral nerve compression neuropathy after fractures of the distal radius. | journal=J Hand Surg Br | year= 2006 | volume= 31 | issue= 3 | pages= 256-60 | pmid=16376003 | doi=10.1016/j.jhsb.2005.09.021 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16376003 }} </ref><ref name="pmid20494751">{{cite journal| author=Kleinman WB| title=Distal radius instability and stiffness: common complications of distal radius fractures. | journal=Hand Clin | year= 2010 | volume= 26 | issue= 2 | pages= 245-64 | pmid=20494751 | doi=10.1016/j.hcl.2010.01.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20494751 }} </ref><ref name="pmid24642190">{{cite journal| author=Walenkamp MM, Goslings JC, Beumer A, Haverlag R, Leenhouts PA, Verleisdonk EJ et al.| title=Surgery versus conservative treatment in patients with type A distal radius fractures, a randomized controlled trial. | journal=BMC Musculoskelet Disord | year= 2014 | volume= 15 | issue= | pages= 90 | pmid=24642190 | doi=10.1186/1471-2474-15-90 | pmc=4234244 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24642190 }} </ref><ref>{{cite book | last = Hove | first = Leiv | title = Distal radius fractures : current concepts | publisher = Springer | location = Heidelberg | year = 2014 | isbn = 9783642546037 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323433808 }}</ref>
** [[Edema|Swelling]]
** [[Edema|Swelling]]
** [[Tenderness]]
** [[Tenderness]]
** [[Deformity]]
** [[Deformity]]
** [[Knee Dislocation]]  
** [[Knee Dislocation]]   
**    
** Restricted [[range of motion]]
** Restricted [[range of motion]]
** [[Tingling]] and decreased [[sensation]] of toes, foot and leg
** [[Tingling]] and decreased [[sensation]] of toes, foot and leg
** Decreased [[sensation]] over the shin and the calf can be due to [[nerve]] injury
** Decreased [[sensation]] over the shin and the calf can be due to [[nerve]] injury
** Weakness in leg
** [[Weakness]] in [[leg]]
** Acute [[carpal tunnel syndrome]]
** Acute [[carpal tunnel syndrome]]
*** Pulselessness in the leg
*** [[Pulselessness]] in the [[leg]]
*** Skin pallor  
*** [[Skin]] [[pallor]]
*** Parasthesias
*** [[Paresthesia|Parasthesias]]
** Internal Derangement of the Knee
** Internal Derangement of the Knee
*** Meniscal Injury  
*** [[Meniscal tear|Meniscal]] Injury  
**** Positive McMurray's test
**** Positive [[McMurray's test]]
** Ligamnetous Injury
** [[Ligament|Ligamentous]] Injury
*** Anterior Cruciate Ligament and Posterior Cruciate Ligament
*** Anterior Cruciate Ligament and Posterior Cruciate Ligament
**** Positive Drawer test
**** Positive [[Drawer test]]
**** Positive Lachman test
**** Positive [[Lachman test]]
**** Positive Dial test
**** Positive Dial test
*** Medial Collateral Ligament and Lateral Collateral Ligament
*** Medial Collateral Ligament and Lateral Collateral Ligament
**** Positive Valgus and varus stress test
**** Positive [[Valgus]] and [[varus]] stress test


==References==
==References==
Line 88: Line 82:
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Orthopedics]]
[[Category:Orthopedics]]
[[Category:Orthopedic surgery]]
[[Category:Orthopedic surgery]]
[[Category:Primary care]]
[[Category:Fractures]]
[[Category:Fractures]]
[[Category:Bone fractures]]
[[Category:Bone fractures]]

Latest revision as of 00:25, 30 July 2020

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 physical examination 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 physical examination

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 physical examination

CDC on Tibial plateau fracture physical examination

Tibial plateau fracture physical examination in the news

Blogs on Tibial plateau fracture physical examination

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Tibial plateau fracture physical examination

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

Patients with tibial plateau fracture usually appears well. Physical examination of patients with tibial plateau fracture is usually remarkable for swelling, tenderness, bruises, ecchymosis, deformity and restricted range of motion of the leg.

Physical Examination

Physical examination of patients with tibial plateau fracture is usually remarkable for swelling, tenderness, bruises, ecchymosis,

Clinical image of tibial plateau fracture showing swelling and ecchymosis. Source: Case courtesy by: Dr. Rohan A. Bhimani

Appearance of the Patient

  • Patients with tibial plateau fracture usually appears well.

Vital Signs

Skin

HEENT

  • HEENT examination of patients with tibial plateau fracture is usually normal.

Neck

  • Neck examination of patients with tibial plateau fracture is normal.

Lungs

  • Pulmonary examination of patients with tibial plateau fracture is usually normal.

Heart

  • Cardiovascular examination of patients with tibial plateau fracture is usually normal.

Abdomen

  • Abdominal examination of patients with tibial plateau fracture is usually normal.

Back

  • Back examination of patients with tibial plateau fracture is usually normal.

Genitourinary

  • Genitourinary examination of patients with tibial plateau fracture is usually normal.

Neuromuscular

Extremities

References

  1. ↑ Ramponi DR, McSwigan T (2018). "Tibial Plateau Fractures". Adv Emerg Nurs J. 40 (3): 155–161. doi:10.1097/TME.0000000000000194. PMID 30059369.
  2. ↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  3. ↑ Singleton N, Sahakian V, Muir D (2017). "Outcome After Tibial Plateau Fracture: How Important Is Restoration of Articular Congruity?". J Orthop Trauma. 31 (3): 158–163. doi:10.1097/BOT.0000000000000762. PMID 27984441.
  4. ↑ Dubina AG, Paryavi E, Manson TT, Allmon C, O'Toole RV (2017). "Surgical site infection in tibial plateau fractures with ipsilateral compartment syndrome". Injury. 48 (2): 495–500. doi:10.1016/j.injury.2016.10.017. PMID 27914662.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Tibial_plateau_fracture_physical_examination&oldid=1643901"