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Schatzker tibial plateau

Schatzker 1979XRCTTrauma

Types I–III involve the lateral plateau, IV the medial plateau, V–VI both. Higher types mean higher-energy injury.

TypeDescriptionAssociated
ILateral plateau split (wedge), no depressionYounger, dense bone; lateral meniscus can trap in split
IILateral split-depressionMost common
IIILateral pure depressionOlder, osteoporotic bone
IVMedial plateau fractureOften fracture-dislocation; check popliteal artery and peroneal nerve
VBicondylar, metaphysis intactInverted Y pattern
VIPlateau fracture with metaphyseal–diaphyseal dissociationHigh energy; compartment syndrome risk

Report

  • Articular depression (mm) and step-off, condylar widening, fragment count.
  • Lipohemarthrosis (fat–fluid level) on cross-table lateral if fracture is subtle.

Sources

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

Radessential summarizes published classification systems for practicing radiologists. Summaries are condensed; confirm details against the cited source before relying on them for patient care.