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Knee Fracture

Fractures of the Knee


Presentation

  • He presented six days after having a full-length leg plaster cast removed.[ncbi.nlm.nih.gov]
  • Presentation May present with a knee effusion and pain. There may be an avulsion of the tibial attachment of the ACL. MRI is usually needed to evaluate the injury.[patient.info]
  • Although low bone density may be present concurrently, it is not the underlying cause of subchondral insufficiency fractures in the majority of patients.[casereports.bmj.com]
  • This broken kneecap t shirt makes the perfect get well soon present or recovery gift for the fractured knee surgery survivor in your life.[amazon.com]
  • Patella Fracture The knee cap or patella is the largest sesamoid bone in the body and one of the components of the knee joint, present at the front of the knee.[websterorthonow.com]
Swollen Knee
  • Occult Knee Dislocation Take Home Don’t send home patients who tell you that it felt like their knee popped out of place and they have a big swollen knee with laxity in multiple directions on exam, until you’re sure they haven’t had a vascular injury[emergencymedicinecases.com]
Asymptomatic
  • […] to 14 year olds. 19 Radiographic changes of the inferior pole of the patella can often be difficult to discern due to the variants in ossification centre, emphasizing the need for bilateral radiographs to identify differences from the symptomatic to asymptomatic[ncbi.nlm.nih.gov]
Short Finger
  • Exposure to intense cold (frostbite) – Extremely cold climatic conditions can cause damage to the growth plates resulting in short fingers and destruction of the joint cartilage.[knee.ae]
Soft Tissue Swelling
  • No adjacent soft tissue swelling was seen. This likely represents bony resorption secondary to bone contusion to this region.[ncbi.nlm.nih.gov]
Collapse
  • Patients with subchondral insufficiency fracture characteristically have unremarkable plain radiographs, while MRI examination may reveal extensive bone marrow oedema and subchondral bone collapse.[casereports.bmj.com]
Knee Pain
  • Knee pain following a Patella fracture is quite common, even after the fracture has healed. Many people find that a Knee Brace or Support helps to provide warmth and alleviates their knee pain symptoms.[physioroom.com]
  • Activities After a Knee Replacement Additional Resources on the Knee Adolescent Anterior Knee Pain Arthritis of the Knee Care of the Aging Knee: Baby Boomers may need Lifestyle Changes Cemented and Cementless Knee Replacement Deep Vein Thrombosis Frequently[koc-pa.com]
  • By 26 months after the injury, she tolerated independent walking with a fabric knee support but still experienced mild posterolateral knee pain and numbness on prolonged standing.[casereports.bmj.com]
  • Symptoms of a knee fracture include severe knee pain, swelling, knee deformity, decreased range of motion, and an inability to move or stand on the injured knee.[millsteinorthopedics.com]
  • Activities After a Knee Replacement Additional Resources on the Knee Adolescent Anterior Knee Pain Arthritis of the Knee Care of the Aging Knee: Baby Boomers May Need Lifestyle Changes Cemented and Cementless Knee Replacement Deep Vein Thrombosis Frequently[drpaulnovakovich.com]
Muscle Spasm
  • spasms Crackling or popping sound on movement Inability to walk Deformity of the knee Diagnosis of a Knee Fracture To make an accurate diagnosis and recommend suitable treatment, your doctor will undertake measures, such as: Review of signs and symptoms[hincheyshoulderandelbow.com]
  • A fractured kneecap tends to cause immediate pain, as well as other symptoms, such as: Immediate swelling and bruising Trouble bending the knee or placing weight on the affected leg A scraping or grinding feeling during movement Muscle spasms In some[advancedosm.com]
Muscle Weakness
  • While the cause of this pain is not completely understood, it is likely that it is related to posttraumatic arthritis, stiffness, and muscle weakness. Some patients find that they are more comfortable wearing a knee brace or support.[orthoinfo.aaos.org]
Kidney Failure
  • Metabolic diseases – Diseases such as kidney failure and hormonal disturbances affect the proper functioning of the growth plates and increase susceptibility to fractures.[knee.ae]
Neglect
  • The other possible causes which can lead to growth plate injuries are: Child abuse or neglect – Growth plate fractures are one of the most common fractures that occur in abused or neglected children.[knee.ae]
  • But never neglect the pain in your knees, even if you can still stand or walk. The sooner you start a fractured kneecap treatment program, the better. Listed here are the available treatment options to help you make a full recovery.[vivehealth.com]
Numbness of the Hand
  • It can lead to severe pain in the elbow and numbness in the hand. Fractures are more common in children due to their physical activities as well as their bone properties.[pioneerpeak.com]

Treatment

  • Treatment of Patella Fracture The treatment of patellar fracture depends upon the severity and nature of the fracture. Non-surgical treatment Non-surgical treatment can be used when the patella has not been fragmented or displaced.[tucsonroboticjointreplacement.com]
  • Treatment The treatment of patellar fracture depends upon the severity and nature of the fracture. Non-surgical treatment Non-surgical treatment can be used when the patella has not been fragmented or displaced.[neortho.com]

Prognosis

  • Knee fracture and dislocation prognosis The prognosis is good for patellar and tibial spine or tubercle fractures. The prognosis is not as favourable for tibial plateau and femoral condylar fractures.[patient.info]
  • Factors influencing the prognosis. JBJS Br 1970; 52: 676-87. full article. 1 cm step off threshold for treatment. 6) Lansinger O et al. Tibial condylar fractures. A twenty-year follow-up.[bonetalks.com]
  • Treatment and prognosis Treatment is determined by the amount of displacement of the fracture and whether the extensor mechanism of the knee is intact or disrupted.[radiopaedia.org]
  • […] ligaments [2] Types Stable, displaced, comminuted, open [1] Causes Trauma to the front of the knee [1] Diagnostic method Based on symptom, confirmed with X-rays. [3] Differential diagnosis Bipartite patella [3] Treatment Casting, splinting, surgery [2] Prognosis[en.wikipedia.org]
  • Treatment and prognosis The goal of therapy is to reduce the fracture and begin early mobilisation.[pjsorthopaedics.com.au]

Etiology

  • Complications stiffness weak extensor mechanism degenerative disease of the patellofemoral joint Etiology There are different causes of patella fracture: direct blow to patella, e.g. dashboard injury (high energy) or fall onto the patella (low energy)[radiopaedia.org]
  • Epidemiology/Etiology In a recent study, the average mortality rate at one year after patella fractures was 2.8%, increasing to 6.2% in the geriatric population.[physio-pedia.com]

Epidemiology

  • Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings. Inj Epidemiol. 2017; 4 (1):19. [ PMC free article ] [ PubMed ] [ Google Scholar ] 3.[ncbi.nlm.nih.gov]
  • Epidemiology/Etiology In a recent study, the average mortality rate at one year after patella fractures was 2.8%, increasing to 6.2% in the geriatric population.[physio-pedia.com]
Sex distribution
Age distribution

Prevention

  • Injuries cannot always be prevented, but you may be able to help prevent a knee fracture by following these guidelines: Wear proper, correctly fitting shoes when you exercise.[kpjampang.com]
  • How can I help prevent a knee fracture? Most knee fractures are caused by accidents that are not easy to prevent. However, here are some things that can help prevent injury: Wear shoes that fit well and give good support.[summitmedicalgroup.com]
  • This is to prevent later complications due to osteoarthritis of the Patello-Femoral joint (the joint between the knee cap and the thigh bone).[physioroom.com]
  • Nothing could have prevented the fracture, but Dr. Caronis says, in general, youth sports injuries are on the rise. “Kids are training and playing sports with more intensity,” he says.[ahchealthenews.com]
  • Even after recovery, you’ll likely want to continue wearing a knee brace while working out to prevent re-injury.[vivehealth.com]

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