Author: Manasi Jyothish, Andrew Tabner / Editor: Steve Corry-Bass / Reviewer: Andrew Tabner / Codes: A6 / Published: 14/10/2020
A 26-year-old female American Football player presents to the emergency department after being tackled violently by two players and suffering a left knee injury. She has been unable to weight-bear since the injury and her movements are severely restricted.
On examination the knee is painful to flex or extend fully and is held in a semi-flexed position at around 90 degrees.
Examination reveals no deformity, with moderate pain on palpation over the anterolateral tibial plateau. A large effusion is present.
A tibial plateau fracture was suggested on plain film, and following discussion with the orthopaedic team a CT of the knee was obtained. An image from the CT is shown below.