Table 13.23.1
Myers and McKeever classification of tibial spine fractures
TypeDescriptionTreatment

I

Undisplaced

Cast in extension for 6–8 weeks

II

Anterior half of fragment displaced superiorly, hinging posteriorly

Closed reduction and cast if position acceptable, otherwise as Type III

III

Entire fragment separates and rotates superiorly

Open or arthroscopic reduction and fixation

TypeDescriptionTreatment

I

Undisplaced

Cast in extension for 6–8 weeks

II

Anterior half of fragment displaced superiorly, hinging posteriorly

Closed reduction and cast if position acceptable, otherwise as Type III

III

Entire fragment separates and rotates superiorly

Open or arthroscopic reduction and fixation

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