{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:00:39Z","timestamp":1791979239178,"version":"4.4.0"},"reference-count":27,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T00:00:00Z","timestamp":1734393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Chungnam National University Research fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: This study investigated associated meniscus and ligament injuries in tibial plateau fractures using magnetic resonance imaging (MRI) and assessed soft tissue injuries in relation to the Schatzker classification and Tscherne classification. Materials and Methods: The data of 185 patients who sustained tibial plateau fractures from January 2010 to April 2021 were retrospectively reviewed. Fractures were classified according to the Schatzker classification system. Soft-tissue injuries were assessed using the Tscherne classification. Menisci and ligaments were evaluated using preoperative MRI. Nerve injuries, compartment syndrome and wound problems were also assessed. The incidence of soft tissue injuries, as well as the relationship between the Schatzker and Tscherne classification systems, were analyzed. Results: Evidence of derangement of meniscus and ligament around the knee was found in 183 (98.9%) patients. The most common injury was a medial collateral ligament injury. The incidence of lateral collateral ligament injury, nerve injury, compartment syndrome and wound problem was higher in high-energy tibial plateau fractures. A tendency was observed between the Schatzker and the Tscherne classifications (p value &lt; 0.001). Higher Tscherne grade was also associated with the incidence of posterior cruciate ligament injury, nerve injury and compartment syndrome. Conclusions: In tibial plateau fractures, soft tissue injuries were highly prevalent. High-energy fractures tended to exhibit higher Tscherne classification grades and showed an increased incidence of meniscus and ligament injuries. The Tscherne classification appears to be a helpful system for predicting soft tissue injuries in tibial plateau fractures. And preoperative MRI can be a helpful tool.<\/jats:p>","DOI":"10.3390\/medicina60122073","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T08:17:00Z","timestamp":1734423420000},"page":"2073","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating Meniscus, Ligament and Soft Tissue Injury Using MRI in Tibial Plateau Fractures: A Tscherne Classification Approach"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4130-7431","authenticated-orcid":false,"given":"Yong-Bum","family":"Joo","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Mo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Cheol","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3859-6979","authenticated-orcid":false,"given":"Soo-Hyeok","family":"Chae","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9320-0153","authenticated-orcid":false,"given":"Dong-Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"key":"ref_1","first-page":"84","article-title":"Fractures of the Tibial Plateau","volume":"138","author":"Burri","year":"1979","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_2","first-page":"94","article-title":"The Tibial Plateau Fracture: The Toronto Experience 1968\u20131975","volume":"138","author":"Schatzker","year":"1979","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/00003086-198105000-00015","article-title":"Fracture-Dislocation of the Knee","volume":"156","author":"Moore","year":"1981","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/0020-1383(95)00109-M","article-title":"MRI in the Management of Tibial Plateau Fractures","volume":"26","author":"Holt","year":"1995","journal-title":"Injury"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"141","DOI":"10.2214\/ajr.163.1.8010201","article-title":"Evaluation of Tibial Plateau Fractures: Efficacy of MR Imaging Compared with CT","volume":"163","author":"Kode","year":"1994","journal-title":"Am. J. Roentgenol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00005131-199406000-00001","article-title":"Tibial Plateau Fractures: A Study of Associated Soft Tissue Injuries","volume":"8","author":"Bennett","year":"1994","journal-title":"J. Orthop. Trauma"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/S0895-6111(96)00054-7","article-title":"MR Findings in Patients with Acute Tibial Plateau Fractures","volume":"20","author":"Colletti","year":"1996","journal-title":"Comput. Med. Imaging Graph."},{"key":"ref_8","first-page":"125","article-title":"Fractures of the Tibial Plateau","volume":"14","author":"Ruth","year":"2001","journal-title":"Am. J. Knee Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/S0030-5898(20)31955-6","article-title":"High-Energy Fractures of the Tibial Plateau","volume":"25","author":"Watson","year":"1994","journal-title":"Orthop. Clin. N. Am."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Chang, H., Zheng, Z., Shao, D., Yu, Y., Hou, Z., and Zhang, Y. (2018). Incidence and Radiological Predictors of Concomitant Meniscal and Cruciate Ligament Injuries in Operative Tibial Plateau Fractures: A Prospective Diagnostic Study. Sci. Rep., 8.","DOI":"10.1038\/s41598-018-31705-x"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1055\/s-0030-1268694","article-title":"Soft Tissue Injury of the Knee after Tibial Plateau Fractures","volume":"23","author":"Stannard","year":"2010","journal-title":"J. Knee Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1007\/s00068-022-02127-2","article-title":"The Value of Magnetic Resonance Imaging in the Preoperative Diagnosis of Tibial Plateau Fractures: A Systematic Literature Review","volume":"49","author":"Korthaus","year":"2023","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_13","first-page":"91","article-title":"The Influence of MRI on Treatment Decisions Regarding Knee Injuries","volume":"12","author":"Alioto","year":"1999","journal-title":"Am. J. Knee Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1007\/s00402-020-03533-0","article-title":"The Prevalence of Soft Tissue Injuries in Operative Schatzker Type IV Tibial Plateau Fractures","volume":"141","author":"Yan","year":"2021","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1055\/s-0036-1581132","article-title":"Incidence of Soft-Tissue Injuries in Patients with Posterolateral Tibial Plateau Fractures: A Retrospective Review from 2009 to 2014","volume":"29","author":"Wang","year":"2016","journal-title":"J. Knee Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/00003086-199001000-00031","article-title":"Ligament Injuries Associated with Tibial Plateau Fractures","volume":"250","author":"Delamarter","year":"1990","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/01.blo.0000132626.13539.4b","article-title":"Injury Severity Assessment in Tibial Plateau Fractures","volume":"423","author":"Dirschl","year":"2004","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_18","first-page":"111","article-title":"[A new classification of soft-tissue damage in open and closed fractures (author\u2019s transl)]","volume":"85","author":"Tscherne","year":"1982","journal-title":"Unfallheilkunde"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1007\/s11999-016-4980-3","article-title":"Classifications In Brief: The Tscherne Classification of Soft Tissue Injury","volume":"475","author":"Ibrahim","year":"2017","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Tscherne, H., and Gotzen, L. (1984). Pathophysiology and Classification of Soft Tissue Injuries Associated with Fractures. Fractures with Soft Tissue Injuries, Springer.","DOI":"10.1007\/978-3-642-69499-8"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/00003086-198401000-00025","article-title":"Tibial Plateau Fractures. An Analysis of the Results of Treatment in 60 Patients","volume":"182","author":"Blokker","year":"1984","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/00005131-200502000-00002","article-title":"The Incidence of Soft Tissue Injury in Operative Tibial Plateau Fractures: A Magnetic Resonance Imaging Analysis of 103 Patients","volume":"19","author":"Gardner","year":"2005","journal-title":"J. Orthop. Trauma."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/00003086-197506000-00025","article-title":"Fractures of Tibial Plateaus. A Review of the Literature","volume":"109","author":"Schulak","year":"1975","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"20","DOI":"10.5435\/00124635-200601000-00005","article-title":"High-Energy Tibial Plateau Fractures","volume":"14","author":"Berkson","year":"2006","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/S0749-8063(05)80424-4","article-title":"Posterior Cruciate Ligament Injuries in Trauma Patients","volume":"9","author":"Fanelli","year":"1993","journal-title":"Arthroscopy"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/0749-8063(95)90127-2","article-title":"Posterior Cruciate Ligament Injuries in Trauma Patients: Part II","volume":"11","author":"Fanelli","year":"1995","journal-title":"Arthroscopy"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1097\/BOT.0b013e3181a18235","article-title":"Compartment Syndrome in Schatzker Type VI Plateau Fractures and Medial Condylar Fracture-Dislocations Treated with Temporary External Fixation","volume":"23","author":"Stark","year":"2009","journal-title":"J. Orthop. 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