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posterior dislocation of hip with avulsion fracture of fragment of femoral head by the ligamentum teres: impact to the knee with the hip flexed (dashboard injury) Type II-V: Posterior Fracture Dislocations at Wheeless' Textbook of Orthopaedics online Pott's fracture [4] Percival Pott: bimalleolar fracture of the ankle: eversion of ankle
Elementary fracture Description Associated fractures Description Posterior wall: This is the most common variety of acetabular fracture. It typically occurs due to dashboard injury; when a person travelling in a vehicle involved in a head-on collision, the force applied over the flexed knee travels along the femur bone to the head of the femur, breaking the posterior wall of the acetabulum.
This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces.3 A low energy injury, these fractures are more frequent in the 4th and 5th decades of life and individuals with osteoporotic changes in bone.
The ilium forms the upper boundary, providing a little less than two-fifths of the structure of the acetabulum. The rest is formed by the pubis , near the midline. It is bounded by a prominent uneven rim, thick and strong on top, which serves as the point of attachment for the acetabular labrum .
Surgical treatment of posterolateral corner injuries depend on whether the injury is of an acute or chronic nature and whether it is isolated to the posterolateral corner or combined with another ligamentous injury. Operative treatment is aimed at an anatomical repair or reconstruction rather than a non-anatomic reconstruction of the torn ...
If the bones remain normally aligned treatment may be by casting without weight bearing for around eight weeks. [1] If the bones are not properly aligned surgery is generally required. [1] Returning the bones to their normal position results in better outcomes. [2] Surgery may be delayed a few days as long as the skin remained intact. [1]
An additional test of posterior cruciate ligament injury is the posterior sag test, where, in contrast to the drawer test, no active force is applied. Rather, the person lies supine with the leg held by another person so that the hip is flexed to 90 degrees and the knee 90 degrees. [3]
It was considered a first-aid treatment rather than a cure and aimed to control inflammation. [2] It was thought that the reduction in pain and swelling that occurred as a result of decreased inflammation helped with healing. [1] The protocol was often used to treat sprains, strains, cuts, bruises, and other similar injuries. [3]