Prospective MRI study of 103 consecutive operative tibial plateau fractures at a Level I trauma center, evaluating the true incidence of soft tissue injury across 15 categories including cruciate ligaments, collateral ligaments, menisci, and posterolateral corner structures — structures poorly assessed by physical exam or arthroscopy alone.
When you have an operative tibial plateau fracture, assume soft tissue injury is present until proven otherwise — this series shows 99% incidence on MRI. And consider preoperative MRI to identify ligament, meniscal, and posterolateral corner injuries that may alter your surgical approach, dictate acute repair versus staged reconstruction, and guide rehabilitation.
A Schatzker IV pattern should specifically raise your suspicion for medial meniscus tear (86% incidence).
Prospective MRI study of 103 consecutive operative tibial plateau fractures at a Level I trauma center, evaluating the true incidence of soft tissue injury across 15 categories including cruciate ligaments, collateral ligaments, menisci, and posterolateral corner structures — structures poorly assessed by physical exam or arthroscopy alone.
When you have an operative tibial plateau fracture, assume soft tissue injury is present until proven otherwise — this series shows 99% incidence on MRI. And consider preoperative MRI to identify ligament, meniscal, and posterolateral corner injuries that may alter your surgical approach, dictate acute repair versus staged reconstruction, and guide rehabilitation.
A Schatzker IV pattern should specifically raise your suspicion for medial meniscus tear (86% incidence).