Schatzker Classification for Fracture of the proximal tibia / tibial plateau
Type 1
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Vertical split of the lateral condyle
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Type 2
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Vertical split of the lateral condyle + compression fracture of the adjacent weight bearing lateral condyle;
Associated with Fibular head/neck fracture
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAGz8W0ZfFvA15FeAtn9UQFrL01zge_-S7U9z4WZdvuCuUnpxreYKoxdW31TRyyB3AI9KVSuuWxZozZmZyrlR91d8W_vcz-Yb_kuw3eNhBVqhj5_fxBrbeeCSrJ8l2M1BWo-7FD-XXt3w/s200/Schatzker+2+XR.JPG) |
Schatzker 2: Vertical split of lateral condyle. There was no fibula fracture in this case. |
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizXGBBHNp0JtzCp7a2v2x1HUykZ6lFcY42vg6VgK8QDpwnn2uLeCuc6wO81YoeSq7bjWEAoIX1PEnGe34MczY8NBqc2Ev1qlg8-Me9PSPn348vWA3pg7YGk-GEIPLYhTMruZHKCPRfeW4/s200/Schatzker+2.JPG) |
Schatzker 2: Same patient on CT scan |
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Type 3
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Intact condylar margin, but depressed lateral tibial plateau articular surface
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Type 4
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Medial condylar fracture
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYSyxdRj1S4KZO8SUeWI5P2V-GniB2Vi-MhIrGheylFY_l0smyDc5Ou2p3wSz-1HUwqKaTsNmuo6rIus53pilpxHgqvBYlM4-otD9FayQSye5M1U6SZVOVUl8QkuParnpvkSvS9a-lzQs/s200/Schatzker+4.JPG) |
Schatzker 4: High energy type, where there is also involvement of the intercondylar eminence |
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High energy type: + involvement of intercondylar eminence
Low energy type: crush fracture of the medial tibial plateau (irreconstructible)
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Type 5
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Bicondylar fracture, tibial shaft act as a wedge in between
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIHqW10mWaiZO2HEk_mCFpYeOnw13M50rjPmW1PisVGIZF8oURpR0EA8n5Qa4U67iBPFSuDrdQcUffmtjvokQdrKjcuBUSyd9rfUwuZwg9CKkNgoL425mXl3efWDexQBSYAA8fP8KM6s4/s200/Schatzker+5+01.JPG) |
Schatzker 5: Bicondylar fracture. Notice an inverted 'Y' appearance? |
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Type 6
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Condylar fracture + Shaft fracture (metaphysis disconnected from diaphysis)
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvIzKK-TGoeRbQQWPrJhLV2mPQQFB0lA0_rjaZ467OF7wW5w3uNtzYyS-ZMDl3Vk4CTSAGn2hneUk1EH-piKRTQJDBaf2-wVdXVzWtgAMOufwNl9jlQToVEEdHoA54KH4nwphIxdEKtJ0/s200/Schatzker+6.JPG) |
Schatzker 6: Bicondylar fracture and... |
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZan6RffkFib_IKOtlfdue3nS2nPb4ShH6yKlL7KvAs8yTuuRwk-nTBqzrNJy2yLYXL0fSbVaht0wBx0pZgiIvPrACAgTNEhKPVjs_7RhVa0SOxgiw4j8o3bPcGd0i9B3zDoZpZchOLwM/s200/Schatzker+6+XR.JPG) |
Schatzker 6: and tibial shaft fracture. From the same patient. |
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