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A patella fracture is a break of the kneecap. [1] Symptoms include pain, swelling, and bruising to the front of the knee. [1] A person may also be unable to walk. [1] Complications may include injury to the tibia, femur, or knee ligaments. [2] It typically results from a hard blow to the front of the knee or falling on the knee. [1]
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.
An intraarticular fracture is a bone fracture in which the break crosses into the surface of a joint. This always results in damage to the cartilage . [ 1 ] Compared to extraarticular fractures , intraarticular have a higher risk for developing long-term complications, such as posttraumatic osteoarthritis .
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.
Inflammation of the patellar tendon is present if the patellar tendon is painful upon palpation. Radiographic imaging should be done if the examination findings fulfills the Ottawa rules: age 55 years and older, pain at the head of fibula , patellar pain, unable to flex the knee to 90 degrees, and inability to stand and walk at least four steps.
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 ...
It is an outpatient procedure and causes only small discomfort. The harder part is the restrictions that are placed on the patient during the post-operative recovery period. This can be a major challenge for many patients. For optimal re-growth of joint surface, the patients need to be very patient and also extremely cooperative.
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]