8. Knee and Tibia And Fibula Shafts

  1. Andrea Donovan MD2 and
  2. Mark Schweitzer MD3
  1. Andrew Lischuk,
  2. Edward Smitaman,
  3. Kristen Menn and
  4. Andrew Haims

Published Online: 22 OCT 2012

DOI: 10.1002/9781118551691.ch8

Imaging Musculoskeletal Trauma: Interpretation and Reporting

Imaging Musculoskeletal Trauma: Interpretation and Reporting

How to Cite

Lischuk, A., Smitaman, E., Menn, K. and Haims, A. (2012) Knee and Tibia And Fibula Shafts, in Imaging Musculoskeletal Trauma: Interpretation and Reporting (eds A. Donovan and M. Schweitzer), John Wiley & Sons, Ltd, Oxford. doi: 10.1002/9781118551691.ch8

Editor Information

  1. 2

    Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada

  2. 3

    Department of Diagnostic Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, Canada

Publication History

  1. Published Online: 22 OCT 2012
  2. Published Print: 10 DEC 2012

ISBN Information

Print ISBN: 9781118158814

Online ISBN: 9781118551691

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Keywords:

  • distal femoral fracture;
  • fibular shaft;
  • imaging tests;
  • knee dislocation;
  • knee joint;
  • patella;
  • proximal fibular fracture;
  • radiographs;
  • tibial plateau

Summary

The knee joint consists of three articulations within one joint capsule: articulation between the medial femoral condyle and the medial tibial plateau, between the lateral femoral condyle and the lateral tibial plateau, and between the femoral trochlea and the patella. Imaging for knee trauma includes radiographs of knee as the initial study of choice. Distal femoral fractures can occur in young adults following high-energy trauma and in the elderly following low-energy falls. The most common mechanism in tibial plateau fractures is axial loading following a fall with a twisting force. Knee dislocations usually result from a high velocity motor vehicle accident or fall. Proximal fibular fractures are usually associated with other injuries including tibial plateau fractures following valgus force, and lateral collateral ligament complex injury with varus force. While patellar fractures can occur from both direct and indirect trauma, patellar dislocations are a common cause of hemarthrosis in young athletes.