KMID : 0359620100220010011
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Journal of Korean Knee Society 2010 Volume.22 No. 1 p.11 ~ p.18
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Injury to Soft Tissue Knee Structures in Patients with Tibia Plateau Fracture
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Kim Doo-Sup
Yoon Yeo-Seung Jeon Jong-Se Joe Tae-Yeon Yi Chang-Ho
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Abstract
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Purpose: We wanted to analyze the incidence of soft tissue injury associated with fractures of the tibial plateau.
Materials and Methods: From November 2005 to December 2008, 36 patients with tibial plateau fractures were examined by radiologic studies. The fractures classified according to Schatzker¡¯s classification by using the plain radiographs and computed tomography, and then magnetic resonance imaging was done for assessing the accompanied injuries of the knee structure.
Results: For the 36 cases, accompanying lesions were observed in 30 cases (83.3%). Lateral meniscus damage was the most frequently associated damage, and this was observed in 17 cases (47.2%). Medial meniscus damage was found in 13 cases (36.1%). Anterior crucial ligament damage was found in 11 cases (30.6%). Posterior crucial ligament damage was found in 3 cases (8.3%). Medial collateral ligament damage was found in 16 cases (44.4%) and lateral collateral ligament was found in 8 cases (33.3%).
Conclusion: Because soft tissue injury frequently accompanies tibial plateau fracture, MRI evaluation and proper management are necessary regardless of the severity of the fractures.
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KEYWORD
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Knee joint, Tibia plateau fracture, Associated soft tissue injury
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