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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 ...
The knee joint contains two crescent-shaped fibrocartilaginous structures, the menisci (medial and lateral), which serve as shock absorbers and stabilize the joint during movement. Each meniscus has an outer vascular zone (red-red zone), which has a good blood supply and healing potential as well as a central avascular zone (white-white zone ...
Patellofemoral pain syndrome (PFPS; not to be confused with jumper's knee) is knee pain as a result of problems between the kneecap and the femur. [4] The pain is generally in the front of the knee and comes on gradually. [2] [4] Pain may worsen with sitting down with a bent knee for long periods of time, excessive use, or climbing 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.
Pellegrini-Stieda combines the aforementioned radiographic findings and concomitant medial knee joint pain or restricted range of motion. [2] In 1905, Pellegrini described the first reported case of calcification, involving the collateral ligament of the knee in a 36-year-old man examined at the Department of Surgery in Florence on March 13 ...
The patella's posterior surface is covered with a layer of smooth cartilage, which the base of the femur normally glides smoothly against when the knee is bent. However, in some individuals the kneecap tends to rub against one side of the knee joint, irritating the cartilage and causing knee pain. [15]
Complications may include a patella fracture or arthritis. [3] A patellar dislocation typically occurs when the knee is straight and the lower leg is bent outwards when twisting. [1] [2] Occasionally, it occurs when the knee is bent and the patella is struck directly. [1] Commonly associated sports include soccer, gymnastics, and ice hockey. [2]
An old fracture with nonunion of the fracture fragments. Some fractures may lead to serious complications including a condition known as compartment syndrome. If not treated, eventually, compartment syndrome may require amputation of the affected limb. Other complications may include non-union, where the fractured bone fails to heal, or ...
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