Monday, September 19, 2011

Proximal tibial fracture - Schatzker Classification


Schatzker Classification for Fracture of the proximal tibia / tibial plateau

Type 1
Vertical split of the lateral condyle


Type 2
Vertical split of the lateral condyle  + compression fracture of the adjacent weight bearing lateral condyle;
Associated with Fibular head/neck fracture

Schatzker 2: Vertical split of lateral condyle. There was no fibula fracture in this case.

Schatzker 2: Same patient on CT scan


Type 3
Intact condylar margin, but depressed lateral tibial plateau articular surface


Type 4
Medial condylar fracture
Schatzker 4: High energy type, where there is also involvement of the intercondylar eminence

High energy type: + involvement of intercondylar eminence
Low energy type: crush fracture of the medial tibial plateau (irreconstructible)

Type 5
Bicondylar fracture, tibial shaft act as a wedge in between

Schatzker 5: Bicondylar fracture. Notice an inverted 'Y' appearance?

Type 6
Condylar fracture + Shaft fracture (metaphysis disconnected from diaphysis)
Schatzker 6: Bicondylar fracture and...
Schatzker 6: and tibial shaft fracture.  From the same patient.







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