Overlooked and Delayed Diagnosis of Tibial Plateau Fracture

Avramovski, Petar and Avramovska, Maja and Siklovska, Vesna and Obednikovski, Aleksandar (2020) Overlooked and Delayed Diagnosis of Tibial Plateau Fracture. EC Orthopaedics, 11 (3). pp. 1-6.

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Introduction: Tibial plateau fractures (TPFs) are one of the most common radiological pathologies to be overlooked by doctors and
represent a wide spectrum of severity which ranges from simple injuries to complex fracture patterns. The treatment of the TPFs
varies depending on the type, mechanism of injury, and patient characteristics.
Case Presentation: We report the case of one male 57-aged patient who sustained TPF fracture with depression of lateral tibial
condyle and bleeding into joint spaces. The fracture was overlooked in an image acquired by X-ray on the standard anteroposterior view of
the right proximal tibia, at the first radiologic examination. Diagnose of TPF was delayed until magnetic resonance imaging (MRI) was
performed. Anteroposterior and lateral X-ray reassessment of the knee proved that TPF was overlooked.
Conclusion: We found two reasons for overlooking TPF in the emergency room, first, that TPF was not identified by standard X-ray
imaging because the lateral X-ray and MRI were not acquired. The presentation of this case report of overlooked and delayed diagnosis
of FTP was intended to put attention to a common mistake made by orthopedists who did not indicate proper imaging technique and by radiologists who did not detect the TPFs.

Keywords: Tibial Fracture; Overlooked Diagnosis; X-Ray Imaging; Magnetic Resonance Imaging

Item Type: Article
Subjects: Scientific Fields (Frascati) > Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Veterinary Medicine
Depositing User: D-r Petar Avramovski
Date Deposited: 10 Dec 2021 12:15
Last Modified: 10 Dec 2021 12:15
URI: https://eprints.uklo.edu.mk/id/eprint/6677

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