Large fracture of the anteromedial tibial plateau with isolated posterolateral knee corner injury: case series of an often missed unusual injury pattern.
Tibial plateau fractures are a heterogeneous group of lesions with multiple fracture patterns. They are often associated with soft tissue injuries, the lateral meniscus and the anterior cruciate ligament (ACL) being the most common structures affected. The purpose of this article is to present a case series of an often missed unusual injury pattern that consists on the association of a large anteromedial tibial plateau fracture with a posterolateral (PL) knee corner injury without involvement of the cruciate ligaments. The diagnosis of PL complex injury may go unrecognized in a considerable number of cases and delay on the treatment decreases the success rate of soft tissue repairing. The importance of a high index of suspicion and a proper early diagnosis with an MRI is of paramount importance. We also describe the current surgical management used by the authors and review of the current literature.
Department of Orthopaedic and Trauma Surgery, Trauma Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain. Electronic address: jotomas@vhebron.net.
Jordi
J
Tomás-Hernández
Department of Orthopaedic and Trauma Surgery, Knee Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain.
Joan Minguell
JM
Monyart
Department of Orthopaedic and Trauma Surgery, Trauma Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain.
Jordi Teixidor
JT
Serra
Department of Orthopaedic and Trauma Surgery, Knee Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain.
Merce Reverté
MR
Vinaixa
Department of Orthopaedic and Trauma Surgery, Trauma Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain.
Ernesto Guerra
EG
Farfan
Department of Orthopaedic and Trauma Surgery, Trauma Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain.
Vicente Molero
VM
García
Department of Orthopaedic and Trauma Surgery, Knee Unit, Hospital Vall d'Hebron - Universitat Autonoma de Barcelona (UAB), Passeig Vall d'Hebron, Barcelona, Spain.
Enric Castellet
EC
Feliu
D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D000070598:Anterior Cruciate Ligament Injuries / Q000000981:diagnostic imaging*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006406:Hematoma; D006801:Humans; D007103:Immobilization; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D017695:Soft Tissue Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Anteromedial compression; Anteromedial tibial plateau fracture; Posterolateral complex injury; Posterolateral knee corner