"Flip lid" type of lateral tibia plateau fracture with a meniscus radial tear: A case report. (August 2021)

• Record Type: Journal Article
• Authors: Ho, Wei; Chih, Wei-Hsing; Yeh, Ming-Long; Lin, Shu-Fan; Su, Wei-Ren; Chiang, Chen-Hao
• Is Part Of: Trauma case reports. Volume 34(2021)
• Publication Date: 2021-08
• Subjects: Tibial plateau fracture -- Meniscus tear -- Knee arthroscopy -- Open reduction and internal fixation; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2021.100496
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: Case: A 45-year-old woman sustained a unique lateral tibia plateau fracture pattern with a vertically rotated fragment composed of an intact articular surface and subchondral bone. During open reduction and internal fixation (ORIF), a full thickness radial tear of the lateral meniscus was found, which was repaired under direct visualization through arthrotomy. At final follow-up, the patient regained pain-free activity with good meniscus healing, as confirmed with a second-look arthroscopic examination. Conclusion: This case represents an undescribed fracture pattern that indicates an associated meniscus injury. A thorough evaluation, including Magnetic Resonance Imaging should be considered. One-stage ORIF followed with meniscus repair represents a good treatment option.