Capsular avulsion of the lateral tibial plateau with 180-degree rotation: a rare case report

Gagan Arora; Anurag Varshney; Surya Vijay Singh; Zeeshan Javed

doi:10.18203/issn.2455-4510.IntJResOrthop20262062

Authors

Gagan Arora Department of Orthopaedics, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India
Anurag Varshney Department of Orthopaedics, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India
Surya Vijay Singh Department of Orthopaedics, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India
Zeeshan Javed Department of Orthopaedics, Rama Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20262062

Keywords:

Proximal tibia fracture, Tibia plateau fracture, ORIF, Herbert screw

Abstract

A 40-year-old man sustained a unique lateral tibia plateau fracture pattern with a 180-degree rotated fragment composed of an intra-articular surface and subchondral bone. At final follow-up, the patient regained pain-free activity. This case represents an undescribed fracture pattern that indicates an associated cruciate injury. A thorough evaluation, including Magnetic Resonance Imaging should be considered. One-stage ORIF with Herbert screw and partially threaded cancellous cannulated screw was done which represents a good treatment option.

Metrics

Metrics Loading ...

References

Elsoe R, Larsen P, Nielsen NP, Swenne J, Rasmussen S, Ostgaard SE. Population-Based Epidemiology of Tibial Plateau Fractures. Orthopedics. 2015;38(9):e780-6. DOI: https://doi.org/10.3928/01477447-20150902-55

Jagdev SS, Pathak S, Kanani H, Salunke A. Functional Outcome and Incidence of Osteoarthritis in Operated Tibial Plateau Fractures. Arch Bone Jt Surg. 2018;6(6):508-16.

Prat-Fabregat S, Camacho-Carrasco P. Treatment strategy for tibial plateau fractures: an update. EFORT Open Rev. 2017;1(5):225-32. DOI: https://doi.org/10.1302/2058-5241.1.000031

Schatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Toronto experience 1968--1975. Clin Orthop Relat Res. 1979;(138):94-104.

Wang Y, Luo C, Zhu Y, Zhai Q, Zhan Y, Qiu W, et al. Updated Three-Column Concept in surgical treatment for tibial plateau fractures - A prospective cohort study of 287 patients. Injury. 2016;47(7):1488-96. DOI: https://doi.org/10.1016/j.injury.2016.04.026

Kfuri M, Schatzker J. Revisiting the Schatzker classification of tibial plateau fractures. Injury. 2018;49(12):2252-63. DOI: https://doi.org/10.1016/j.injury.2018.11.010

Kandemir U, Maclean J. Surgical approaches for tibial plateau fractures. J Knee Surg. 2014 ;27(1):21-9. DOI: https://doi.org/10.1055/s-0033-1363519

Stahl D, Serrano-Riera R, Collin K, Griffing R, Defenbaugh B, Sagi HC. Operatively Treated Meniscal Tears Associated with Tibial Plateau Fractures: A Report on 661 Patients. J Orthop Trauma. 2015;29(7):322-4. DOI: https://doi.org/10.1097/BOT.0000000000000290

Forman JM, Karia RJ, Davidovitch RI, Egol KA. Tibial plateau fractures with and without meniscus tear--results of a standardized treatment protocol. Bull Hosp Jt Dis (2013). 2013;71(2):144-51.

Ruiz-Ibán MÁ, Diaz-Heredia J, Elías-Martín E, Moros-Marco S, Cebreiro Martinez Del Val I. Repair of meniscal tears associated with tibial plateau fractures: a review of 15 cases. Am J Sports Med. 2012;40(10):2289-95. DOI: https://doi.org/10.1177/0363546512457552