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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.
The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau. On the medial femoral condyle there are three bony landmarks that are important: the medial epicondyle, adductor tubercle, and gastrocnemius tubercle.
A surgical approach to the medial side of the knee was performed using the layered approach. X-Ray analysis was performed by measuring the distance from the proximal part of the marking to the medial tibial plateau, multilayered views and comparison to the original X-rays by Pellegrini-Stieda.
compression fracture of lateral tibial plateau: forced valgus of knee when struck from side by car bumper: Bumper fracture at TheFreeDictionary.com: Chance fracture: George Quentin Chance: horizontal fracture of vertebral body: hyperflexion of spine, seen in car accidents when lap belts were used: Chance fracture at Wheeless' Textbook of ...
Localised tenderness over the medial knee is the most common finding of the condition. It is usually happening on one side, without a previous history of trauma. SONK should be considered together with differential diagnosis of osteoarthritis, tear of medial meniscus, and tibial plateau fracture. SONK usually has a sudden onset of knee pain ...
Figure 1: A 56-year-old woman presenting with left knee pain after a fall. (a) Initial anteroposterior radiograph was considered normal, however, subtle cortical disruption of the anterior rim of the medial tibial plateau, medial to the tibial spine, is noted (arrow).
The menisci are C-shaped wedges of fibrocartilage located between the tibial plateau and femoral condyles. The menisci contain 70% type I collagen. [11] The larger semilunar medial meniscus is attached more firmly than the loosely fixed, more circular lateral meniscus. The anterior and posterior horns of both menisci are secured to the tibial ...
The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when the foot strikes the ground. [1] The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures. [2]