3. In: Rockwood and Green's Fractures in Adults, Bucholz, RW, Heckman, JD (Eds), Lippincott Williams & Wilkins, Philadelphia 2002; p.1775. Currently, many treatment choices have been … The tibial plateau is the upper surface of the tibia or shin bone. The causes of osteochondral injuries are not yet completely understood, but some theories are lack of blood supply to the affected area, heredity, direct compressive trauma or repetitive strain. This can happen when falling from a considerable height. In a case of open wound, further antibiotics are introduced into the therapeutic scheme. [physioroom.com], Patient Data Age: 45 years Gender: Male From the case: Patella fracture X-ray Lateral Displaced patellar fracture Case Discussion Displaced patellar fracture References 2 articles feature images from this case Patellar fracture Anterior knee pain 1 public Our study group comprised 17 patients with patellar dislocation followed by osteochondral fracture of the articular surface of the patella. The more extensive the damage sustained by the structure, the more time it will require to reach a stage of complete recovery; even less severe traumatizations can result in significant complications, such as patellofemoral arthrosis . Its tendon is extended to form the medial patellar retinaculum, which is itself linked to the upper-and-towards-the-midline part of the patella. Skeletally immature patients—patients with open growth plates—typically respond well to conservative treatment. Displaced fractures usually present with abnormal appearance of the knee and the dislocated pieces may as well be palpable. Operative treatment might also be necessary if patients do not respond well to conservative treatment. MATERIALS AND METHODS: The first patient had a large osteochondral impression fracture of the lateral femur trochlea and retropatellar surface. J Bone Joint Surg Br. The patella can sustain various types of fractures. Stable fractures are those whereby the two separated parts remain in place and correct alignment. Moretti B, Speciale D, Garofalo R, et al. Open fractures are operated as an emergency condition. An osteochondral injury is an injury to the smooth surface on the end of bones, called articular cartilage (chondro), and the bone (osteo) underneath it. [orthobullets.com], On this presentation, examination revealed that she had a marked knee effusion with a functional extensor mechanism and a range of motion from 0-60 degrees. Sorensen KH. Typically, indirect fractures are a result of abnormal or excessive knee flexion. Fracture of the patella. An osteochondral fracture is caused by tearing of the articular cartilage. An Osteochondral fracture is a tear of the cartilage which covers the end of a bone, within a joint. The patient does not benefit from any surgical intervention and is treated with a cylinder cast that is kept for 4 to six weeks, depending on the specific characteristics of the fracture. Berg EE. [posna.org], Examination reveals a large knee effusion. Fractures of the tibial plateau are considered quite serious as this upper surface of the bone contains structures which are critical to the knees functioning. Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: 1. The third mechanism involves a combination of the two aforementioned ways. Symptoms: Unless the injury is extensive, it may take months, a year or even longer for symptoms to develop. 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