How would you approach an elderly patient with tibial plateau insufficiency fracture and normal DEXA?

Tibial plateau insufficiency fxs are not discussed in the guidelines for dx or treatment.

Answer from: at Academic Institution

Tibial plateau fractures are common among young individuals and often the result of trauma or injury. In the elderly, they can be related to injury but as well as poor bone strength and quality. In the aging population if DXA testing is normal and the fracture is not the result of major injury searc...

Comments

at Tidelands Health
Excellent, thank you.

Answer from: at Community Practice

It depends on the quantity of the medial or lateral compartment that the bone is under since it may really be a spontaneous osteonecrosis rather than a tibial plateau fracture. I don’t believe that we understand the etiology of SONK. I have seen quite a few who I treated with an immobilizer an...

Comments

at Tidelands Health
Excellent, helpful. Thank you.

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