Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture

Isolated posterolateral corner (PLC) injuries are rarely seen with tibial plateau fractures and can be missed during the initial assessment. The objective of this paper is to present a case of a Schatzker type 2 tibial plateau fracture with associated isolated PLC injury and give a discussion on phy...

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Main Authors: Boris A. Zelle, James R. Heaberlin, Matthew C. Murray
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/527428
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author Boris A. Zelle
James R. Heaberlin
Matthew C. Murray
author_facet Boris A. Zelle
James R. Heaberlin
Matthew C. Murray
author_sort Boris A. Zelle
collection DOAJ
description Isolated posterolateral corner (PLC) injuries are rarely seen with tibial plateau fractures and can be missed during the initial assessment. The objective of this paper is to present a case of a Schatzker type 2 tibial plateau fracture with associated isolated PLC injury and give a discussion on physical exam, diagnostic studies, and treatment options. A twenty-five-year-old female sustained a concomitant Schatzker type 2 fracture and PLC injury. Magnetic Resonance Imaging showed an isolated PLC disruption. Open reduction-internal fixation was performed with subsequent PLC repair. At sixteen months postoperatively, the patient had full range of motion and strength of her knee and no signs of laxity. This case emphasizes the importance of physical exam and appropriate imaging modalities in order to diagnose and treat this significant injury in a prompt fashion. In this case, surgical fracture fixation and subsequent repair of the PLC provided a good clinical outcome.
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spelling doaj-art-2e916bcf743548edbb5b82c5b8a2cbe82025-02-03T06:08:17ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/527428527428Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau FractureBoris A. Zelle0James R. Heaberlin1Matthew C. Murray2Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78209, USADepartment of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78209, USADepartment of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78209, USAIsolated posterolateral corner (PLC) injuries are rarely seen with tibial plateau fractures and can be missed during the initial assessment. The objective of this paper is to present a case of a Schatzker type 2 tibial plateau fracture with associated isolated PLC injury and give a discussion on physical exam, diagnostic studies, and treatment options. A twenty-five-year-old female sustained a concomitant Schatzker type 2 fracture and PLC injury. Magnetic Resonance Imaging showed an isolated PLC disruption. Open reduction-internal fixation was performed with subsequent PLC repair. At sixteen months postoperatively, the patient had full range of motion and strength of her knee and no signs of laxity. This case emphasizes the importance of physical exam and appropriate imaging modalities in order to diagnose and treat this significant injury in a prompt fashion. In this case, surgical fracture fixation and subsequent repair of the PLC provided a good clinical outcome.http://dx.doi.org/10.1155/2015/527428
spellingShingle Boris A. Zelle
James R. Heaberlin
Matthew C. Murray
Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture
Case Reports in Orthopedics
title Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture
title_full Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture
title_fullStr Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture
title_full_unstemmed Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture
title_short Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture
title_sort posterolateral corner injury associated with a schatzker type 2 tibial plateau fracture
url http://dx.doi.org/10.1155/2015/527428
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AT jamesrheaberlin posterolateralcornerinjuryassociatedwithaschatzkertype2tibialplateaufracture
AT matthewcmurray posterolateralcornerinjuryassociatedwithaschatzkertype2tibialplateaufracture