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Tibial tuberosity fractures are infrequent fractures, most common in adolescents. In running and jumping movements, extreme contraction of the knee extensors can result in avulsion fractures of the tuberosity apophysis. [3] A cast is all that is required if the fragment is not displaced from its normal position on the tibia. However, if the ...
Osgood–Schlatter disease causes pain in the front lower part of the knee. [9] This is usually at the ligament-bone junction of the patellar ligament and the tibial tuberosity. [10] The tibial tuberosity is a slight elevation of bone on the anterior and proximal portion of the tibia.
The upper part of the patellar tendon attaches on the lower part of the knee cap, and the lower part of the patella tendon attaches to the tibial tubercle on the front of the tibia. Above the knee cap, the quadriceps muscle via the quadriceps tendon attaches to the top of the knee cap. This structure allows the knee to flex and extend, allowing ...
It can also affect the thigh, buttock, hand, abdomen, and foot. [19] [14] The most common cause of acute compartment syndrome is a fractured bone, usually the tibia. [14] [27] Leg compartment syndrome occurs in 1% to 10% of tibial fractures. [6] It is strongly linked to tibial diaphysis fractures and other tibial injuries. [28]
Proximal fractures of 5th metatarsal. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture [2] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). [3] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). [4]
The examiner watches for the tibial tubercle of the affected knee to rotate as the foot rotates, comparing it to the contralateral knee. A positive test will show rotation of greater than 10-15° of rotation compared to the opposite knee. This is most easily assessed with a hand placed over the tibia while testing.
This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee. Represent 10% of all tibial plateau fractures. There is high risk of damage to the popliteal artery and peroneal nerve and therefore carry a worse prognosis.
During a high tibial osteotomy, surgeons remove a wedge of bone from the outside of the knee, which causes the leg to bend slightly inward. This resembles the realigning of a bowlegged knee to a knock-kneed position. The patient's weight is transferred to the outside (lateral) portion of the knee, where the cartilage is still healthy. [10]