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The patella can also be fractured indirectly. For example, a sudden contraction of the quadriceps muscle in the knee can pull apart the patella. [1] Diagnosis is based on symptoms and confirmed with X-rays. [3] In children an MRI may be required. [3] Treatment may be with or without surgery, depending on the type of fracture. [2]
[1] [2] In those who are otherwise healthy, treatment is generally by surgery. [1] Occasionally, if the bones are well aligned and the ligaments of the knee are intact, people may be treated without surgery. [2] They represent about 1% of broken bones. [2] They occur most commonly in middle aged males and older females. [3]
If the tendon rupture is a partial tear (without the two parts of the tendon being separated), then non-surgical methods of treatment may suffice. The future of non-surgical care for partial patella tendon ruptures is likely bioengineering. Ligament reconstruction is possible using mesenchymal stem cells and a silk scaffold. [5]
Most of the time, if the MCL or LCL are torn as an isolated injury, they can heal without surgery, providing there is a period of long leg bracing followed by a rehab program.
Nonunion is permanent failure of healing following a broken bone unless intervention (such as surgery) is performed. A fracture with nonunion generally forms a structural resemblance to a fibrous joint, and is therefore often called a "false joint" or pseudoarthrosis (from Greek pseudo-, meaning false, and arthrosis, meaning joint).
The bones of the knee are the femur, patella, tibia, and fibula. The fibula is on the lateral side of the knee and the patella has little effect on the medial side of the knee. The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau.
The medial retinaculum of the patella is disrupted. Two types of treatment options are typically available: Surgery; Conservative treatment (rehabilitation and physical therapy) Surgery may impede normal growth of structures in the knee, so doctors generally do not recommend knee operations for young people who are still growing.
Hip replacement surgery, also known as hip arthroplasty, involves replacing an injured hip with an artificial joint, in order to reduce pain and improve movement. There are about 350,000 such ...
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