Fractures: bumper fracture: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Fractures: bumper fracture

Sample item

A pedestrian struck by a car bumper sustains a lateral tibial plateau fracture. Which ligament injury is commonly associated?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Medial collateral ligament tear

A valgus force from a bumper strike drives the lateral femoral condyle into the lateral tibial plateau, causing a fracture, and stretches the medial side. The medial collateral ligament, and sometimes the ACL, may be torn.

Option by option

  • A. Achilles tendon rupture

    The Achilles tendon is unrelated.

  • B. Patellar tendon rupture

    The patellar tendon is not typically injured.

  • C. Lateral collateral ligament avulsion only

    The lateral side is compressed rather than distracted.

  • D. Medial collateral ligament tear (correct)

    Correct. The valgus load commonly injures the medial collateral ligament.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is D, Medial collateral ligament tear. A valgus force from a bumper strike drives the lateral femoral condyle into the lateral tibial plateau, causing a fracture, and stretches the medial side.

Why is "Achilles tendon rupture" not the answer?

The Achilles tendon is unrelated.

Why is "Patellar tendon rupture" not the answer?

The patellar tendon is not typically injured.

Why is "Lateral collateral ligament avulsion only" not the answer?

The lateral side is compressed rather than distracted.

What concept does this question test?

It tests Fractures: bumper fracture in Orthopaedics. The medial collateral ligament, and sometimes the ACL, may be torn.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fractures: bumper fracture?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.