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The pivot fracture: an unusual tibial plateau fracture found in association with acute ACL injury

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Abstract

Tibial plateau fractures are common fractures which are often associated with concurrent soft tissue injury and for which accurate preoperative diagnosis is important for development of an appropriate treatment plan and outcome prediction. Here, we present an extreme manifestation of the pivot shift phenomenon with an unusual tibial plateau fracture with flipped component not described by any existing tibial plateau fracture classification system and never reported previously in conjunction with an anterior cruciate ligament injury. We describe the utilization of advanced imaging not typically utilized in the management of tibial plateau fractures in combination with clinical suspicion to diagnose the associated soft tissue injuries and develop an appropriate management plan.

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Authors and Affiliations

  1. Department of Radiology, Musculoskeletal Section, University of Southern California, Keck School of Medicine, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA

    Ellen Y. Chang

  2. Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA

    Marschall B. Berkes

  3. Mallinckrodt Institute of Radiology, Musculoskeletal Section, Washington University in St. Louis School of Medicine, St. Louis, MO, USA

    Jonathan C. Baker

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  1. Ellen Y. Chang
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  2. Marschall B. Berkes
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  3. Jonathan C. Baker
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Correspondence to Ellen Y. Chang.

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Chang, E.Y., Berkes, M.B. & Baker, J.C. The pivot fracture: an unusual tibial plateau fracture found in association with acute ACL injury. Skeletal Radiol 51, 1697–1705 (2022). https://doi.org/10.1007/s00256-021-03962-x

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  • DOI: https://doi.org/10.1007/s00256-021-03962-x

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