Season 2 Case 3
Hx: Pain/swelling/deformity (you know.. the normal)
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Answer:
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Answer: Lipohemarthrosis (notice the fat-fluid level which is oriented vertically on this Cross-table lateral knee)
Reference: http://radiopaedia.org/articles/lipohaemarthrosis
Interesting notes:
Ideally the patient has been lying in that position for 5 or so minutes to allow the fat and blood to adequately separate
It is important to remember that up to 64% of tibial plateau fractures do not have a x-ray visible lipohaemarthrosis, but rather a simple haemarthrosis