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Most patella fractures are transverse or comminuted, hence the quadriceps mechanism is disrupted and they are treated by a combination of wires in a tension band construct. This unites the fractured bones, reconstructing the straightening mechanism of the leg. [5] [6]
The septa are formed from the fascia which is made up of a strong type of connective tissue. The fascia also separates the skeletal muscles from the subcutaneous tissue. [2] Due to the great pressure placed on the leg, from the column of blood from the heart to the feet, the fascia is very thick in order to support the leg muscles. [3]
Patellar tendon rupture can usually be diagnosed by physical examination. The most common signs are: tenderness, the tendon's loss of tone, loss of ability to raise the straight leg and observation of the high-riding patella. Radiographically, patella alta can be detected using the Insall and Salvati method when the patella is shorter than its ...
The deep fascia of leg or crural fascia forms a complete investment to the muscles, and is fused with the periosteum over the subcutaneous surfaces of the bones.. The deep fascia of the leg is continuous above with the fascia lata (deep fascia of the thigh), and is attached around the knee to the patella, the patellar ligament, the tuberosity and condyles of the tibia, and the head of the fibula.
Anteriorly, the infrapatellar fat pad is inserted below the patella and between the two membranes. It extends from the lower margin of the patella above, to the infrapatellar synovial fold below. With its free upper margin, this fold extends dorsally through the joint space to surround the two cruciate ligaments from the front, thus dividing ...
The osteochondral fracture occurs on the weight-bearing portion of the lateral condyle. Typically, the condyle will fracture (and the patella may dislocate) as a result of severe impaction from activities such as downhill skiing and parachuting. [1] Open reduction and internal fixation surgery is typically used to repair an osteochondral fracture.
The patella rests in the trochlear, which is found in the distal part of the femur. The patella can dislocate from the groove because of trauma or an unnatural twisting of the knee. [5] When dislocated, the soft tissue layer that the patella rests in is damaged; the patella is forced out of its groove and back into place.
Knee fractures are rare but do occur, especially as a result of a road accident. Knee fractures include a patella fracture, and a type of avulsion fracture called a Segond fracture. There is usually immediate pain and swelling, and a difficulty or inability to stand on the leg. The muscles go into spasm and even the slightest movements are painful.