Abstract
Focal depressed fracture of the proximal tibial metaphysis without any articular involvement is a rare condition. We present a case of a 46-year-old man with a lacerated wound over the right proximal tibia after a history of slip and fall. The imaging involved to diagnose the condition included an X-ray, computed tomography (CT), and magnetic resonance imaging (MRI) to exclude a pathological fracture and to better delineate the relationship between the fractured bone and the surrounding structures. Conservative management was indicated and implemented with a positive outcome.
Highlights
Depressed fractures of the tibial plateau are common and are caused by high-energy trauma [1]
We present a case of a 46-year-old man with a lacerated wound over the right proximal tibia after a history of slip and fall
A focal depressed fracture was noted involving the anteromedial cortex of the right proximal tibia with bone marrow edema involving the adjoining subcortical bone
Summary
Depressed fractures of the tibial plateau are common and are caused by high-energy trauma [1]. A focal depressed fracture was noted involving the anteromedial cortex of the right proximal tibia. The bone window shows a focal depressed fracture involving the anteromedial cortex of the right proximal tibia (yellow arrows). A focal depressed fracture was noted involving the anteromedial cortex of the right proximal tibia with bone marrow edema involving the adjoining subcortical bone. A focal soft tissue lesion that is hypointense on both T1 and T2-weighted images (suggesting an organized hematoma or fibrosis) is seen, filling the depression caused by the compression fracture. This lesion showed no significant enhancement other than a few small linear enhancing areas within it.
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