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Resolution

Figure 2.

Most non-displaced tibial plateau fractures do not require surgery, but prolonged immobilization – up to three months – is often necessary. Orthopedic follow-up is mandatory, as even non-displaced fractures can displace over time.

Arthritis is a common complication, even if it appears that the articular surface is spared.
This patient was referred for orthopedic evaluation.

Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
This case is one of hundreds that can be found in Terem’s online x-ray Teaching File, with more being added daily. free access to the file is available at https://www2.teremi.com/xrayteach/. A no-cost, brief registration is required.

Clinical Challenge: February, 2010

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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