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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.
Fractures of the knee are less common but should be considered if direct trauma to the knee has occurred such as during a fall. Examples of fractures involving knee joints are: tibial plateau fractures, fractures of the lateral condyle of femur, medial condyle of femur, and patellar fractures. [1]
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. The medial epicondyle is the most distal and anterior prominence.
Medial condyle of tibia. ... Printable version; In other projects Wikidata item; Appearance. ... The medial condyle is the medial (or inner) ...
The tibia (/ ˈ t ɪ b i ə /; pl.: tibiae / ˈ t ɪ b i i / or tibias), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle.
The tibia is then drawn forward anteriorly. An increased amount of anterior tibial translation compared with the opposite limb or lack of a firm end-point may indicate either a sprain of the anteromedial bundle or complete tear of the ACL. [2] If the tibia pulls forward or backward more than normal, the test is considered positive.
Avulsion fracture of the anterior colliculus involving the superficial deltoid ligament: B Intermediate fracture C Fracture at the level of the plafond (Lauge-Hansen external rotation-abduction type) D Plafond fracture (Lauge-Hansen supination-adduction type)
Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after between 3 and 6 months, [3] though time to union can be rather subjective, [4] and the dynamistion process combined with irregular appointments may interfere with these measures.