PMC Subchondral Impaction Fractures of the Medial Femoral Condyle in - LWW Fractures of the femur are more commonly at the top, at the neck of the femur, or in the main shaft. Editorially reviewed, not externally peer-reviewed. Some have suggested conservative treatment for fractures older than 4 weeks, whereas others have demonstrated some restored function in treating these fractures at the time of delayed diagnosis, though the results are imperfect. [44] with a thickening deformity at the fracture site can occur with inadequate reduction, fixation, or immobilization. Femoral Condyle Cartilage Defect Treatment: Treatment of cartilage defects of the femoral condyles requires a thorough workup and ensuring that the defects are truly symptomatic. 91 (2):W12-4. Most of the other complications associated with medial epicondyle fractures are considered minor and do not result in a loss of function. Thus, fractures to this structure are either a medial femoral condyle fracture or a lateral femoral condyle fracture. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). FOIA It is almost always unilateral, usually affects the medial femoral condyle (but can occasionally involve the tibial plateau 9) and is often associated with a meniscal tear. and transmitted securely. Medial epicondyle fractures of the humerus: how to evaluate and when to operate. J Pediatr Orthop. Recurrent bilateral insufficiency fracture of the talus. Excision of the comminuted medial epicondyle fragment has been associated with less beneficial results. Nondisplaced medial condyle fractures can be treated without surgery. This is the first study to identify the incidence, risk factors, location and outcome of these fractures in an Asian population with modern posterior-stabilized (PS) TKA. Olecranon acting as a wedge and creating medial condyle fracture. government site. Diagnosis is made radiographically with CT studies often required to assess for intra-articular extension. For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach. Similar functional results have been reported with operative and nonoperative surgical management. The patient's treatment plan included 6 weeks of weight bearing as tolerated for the left lower extremity while wearing a knee brace that prevented the final 20 of knee extension, and a program of range-of-motion and progressive resistive exercises, with eventual emphasis on sport-specific activities. Orthop. JBJS Case Connect. PMC For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach. 2014 Sep. 39 (9):1739-45. Two days after injury, we performed open reduction and internal fixation using locking compression plate for proximal tibia and screws. J Orthop Trauma. 14. Federal government websites often end in .gov or .mil. Unauthorized use of these marks is strictly prohibited. 2010 Dec 1. Roemer FW, Frobell R, Hunter DJ et-al. Epub 2012 Aug 2. He offers Online Physiotherapy Appointments. A median nerve injury may occur as well; however, this is more common with an associated elbow dislocation. We recommend a consultation with a medical professional such as James McCormack. no financial relationships to ineligible companies to disclose. Conclusion: [QxMD MEDLINE Link]. J Bone Joint Surg Br. An 80-year-old woman was brought to our hospital with severe right knee pain after falling down 15 steps at her home. J Trauma. National Library of Medicine MeSH Careers, Unable to load your collection due to an error. Surgery can consist initially of cleaning up the rough edges and seeing how the patient does. Is Bone Mineral Density Testing Underused in Prostate Cancer Care? [QxMD MEDLINE Link]. Before 4. Tarallo L, Mugnai R, Fiacchi F, Adani R, Zambianchi F, Catani F. Pediatric medial epicondyle fractures with intra-articular elbow incarceration. If the patient is unable to tolerate a long surgical procedure because of polytrauma, closed reduction and cast immobilization with 90 of flexion is an option. 2009. Treatment of an avulsion fracture typically includes resting and icing the affected area, followed by controlled exercises that help restore range of motion, improve muscle strength and promote bone healing. Careers. 8600 Rockville Pike Keywords: Knee. Gwathmey F.W., Jr., Jones-Quaidoo S.M., Kahler D., Hurwitz S., Cui Q. Distal femoral fractures: current concepts. Jpn J Radiol. In fractures with a vertical fracture line, a buttress plate is necessary to counteract the vertical shear forces. Some authors have advocated routine ulnar nerve transposition, whereas others have maintained that this is unnecessary unless the ulnar nerve has been injured. The condyle fragment is then reduced and secured at a minimum of two sites to prevent rotation. The most "classic" location for OCD lesions of the knee is the lateral aspect of the medial femoral condyle of the distal femur.
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