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Prior to the 19th century most patella fractures were treated non-surgically with extension splinting, frequently resulting in poorly joined fragments of bone and long-term pain and disability. [6] Incomplete understanding of the importance of the patella led to the trend of removing the whole patella, also resulting in pain, disability and ...
Bipartite patella is a condition where the patella, or kneecap, is composed of two separate bones. Instead of fusing together as normally occurs in early childhood, the bones of the patella remain separated. [1] The condition occurs in approximately 1–2% of the population [2] [3] and is no more likely to occur in males than females.
Multiple classifications of tibial plateau fractures have been developed. Currently, the Schatzker classification system is the most widely accepted and used. [11] It is composed of six condyle fracture types classified by fracture pattern and fragment anatomy. [13] Each increasing numeric fracture type denotes increasing severity.
The kneecap is prone to injury because of its particularly exposed location, and fractures of the patella commonly occur as a consequence of direct trauma onto the knee. These fractures usually cause swelling and pain in the region, bleeding into the joint (hemarthrosis), and an inability to extend the knee. Patella fractures are usually ...
A bone fracture (abbreviated FRX or Fx, F x, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. [1]
The most likely time for the patella to shift laterally is during the first 20–30 degrees of flexion as the quadriceps tighten simultaneously and pull the patella laterally. Beyond 30 degrees, the quadriceps tendon and patellar ligament pull the patella posterior into the groove of the knee joint making lateral dislocation of the patella ...
A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. [5] Often the knee is partly bent, painful and swollen. [1] [2] The patella is also often felt and seen out of place. [1] Complications may include a patella fracture or arthritis. [3]
They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella; Inability to flex the knee greater than 90° Inability to bear weight both immediately and in the emergency department (4 steps)