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This is a combined cleavage and compression fracture and involves vertical split of the lateral condyle combined with depression of the adjacent load bearing part of the condyle. Caused by a valgus force on the knee; it is a low energy injury, typically seen in individuals of the 4th decade or older with osteoporotic changes in bone.
A stress fracture is a fatigue-induced bone fracture caused by repeated stress over time. Instead of resulting from a single severe impact, stress fractures are the result of accumulated injury from repeated submaximal loading, such as running or jumping. Because of this mechanism, stress fractures are common overuse injuries in athletes. [18]
Compression therapy has been used in deep venous thrombosis prevention, wound care, as well as managing edema. [5] Literature suggests that compression therapy use for perioperative ankle fractures will be beneficial for edema reduction and therefore, will probably be beneficial for pain and ankle joint mobility as well. [5]
Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to repetitive and unusual stress being applied to bone with normal elastic resistance, and insufficiency fracture resulting from normal or minimal stress on a bone with decreased elastic resistance are also described as "stress fractures". [1]
Stress fractures can be described as small cracks in the bone, or hairline fractures. Stress fractures of the foot are sometimes called "march fractures" because of the injury's prevalence among heavily marching soldiers. [2] Stress fractures most frequently occur in weight-bearing bones of the lower extremities, such as the tibia and fibula ...
Conservative treatment of isolated medial knee injuries (grades I-III) begins with controlling swelling and protecting the knee. Swelling is managed well with rest, ice, elevation, and compression wraps. [22] Protection can be performed using a hinged brace that stabilizes against varus and valgus stress but allows full flexion and extension.