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Knee Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Palpation of closed injuries may reveal crepitus, or fracture gap.61 Patients who suffer from a patella fracture may also present with fractures to the ipsilateral acetabulum and lower extremity.62
Orthopaedic Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Request an X-ray to demonstrate the patella fracture. Confusion may arise from a congenital bipartite or tripartite patella, although these are often bilateral, unlike a fracture, so if in doubt X-ray the other knee.Look for a lipohaemarthrosis causing a horizontal line fluid level on the lateral X-ray view of the knee, which is a useful indicator of an intra-articular fracture.Request a ‘skyline’ X-ray view in subtle patellar fractures.Consider a CT scan when a suspected fracture is not visible on plain X-ray.
Patella fracture transverse
Published in Alisa McQueen, S. Margaret Paik, Pediatric Emergency Medicine: Illustrated Clinical Cases, 2018
Patella fracture is the result of either direct trauma, such as a fall onto the knee, or an indirect trauma due to jumping or rapid flexion of knee against a fully contracted quadriceps muscle. Patella fractures are uncommon in the pediatric population. The low rate of injury is thought to be due to the thick cartilaginous layer that surrounds the patella during childhood and adolescence.
Patellar fracture among elite-level European soccer players: 4-year case-control cohort analysis of return to play, re-injury, and player performance
Published in The Physician and Sportsmedicine, 2023
Sumit Patel, Ophelie Lavoie-Gagne, Nabil Mehta, Ghassan Farah, Avinaash Korrapati, Brian Forsythe
Our findings show no significant differences in overall player performance metrics between the injury group and control at any time after injury. Interestingly, there was no significant difference in games or minutes played per season, including the season of injury, especially since our findings suggest RTP is 207.95 days. Although not statistically significant, players competed in less games (P = 0.177), played less minutes per game (P = 0.156), and minutes per season (P = 0.087). These decreases in time played are expected, as players were not able to compete in every match because of the injury and likely were limited in minutes if they were able to return during the season of injury [32,33]. The attacker cohort was able to play significantly less minutes the season of injury (P < 0.05) and this trend continued two seasons after injury (P < 0.05). Currently, rehabilitation protocol after patellar fracture suggests early mobilization to prevent joint stiffness with slow progression to weight-bearing activities and, ultimately, to sport-related activity [14]. During the rehabilitation process, one of the primary goals is to assess functional movement patterns to find deficiencies that may prevent an athlete from progressing further in their sport [34]. By strengthening these deficiencies, players can RTP with better strength and movement, enabling them to reach higher levels of success.
Treatment of Patellar Lower Pole Fracture with Modified Titanium Cable Tension Band Plus Patellar Tibial Tunnel Steel “8” Reduction Band
Published in Journal of Investigative Surgery, 2019
Jiaming Li, Decheng Wang, Zhiliang He, Hao Shi
The morbidity of lower patella fracture, which usually refers to the long axis of 1/4 distal fractures of the patella, is 9.3%∼22.4%. The morbidity is due to the long axis of 1/4 distal fractures that do not have patellar articular cartilage surface, thus unable to form a joint and femoral condyle. This type of fracture belongs to a special type of extra articular fractures of lower patella fracture, which is the comminuted fracture. The fracture block of the formation is very small, in addition, the lower stress is relatively concentrated and belongs to the starting point of the patellar tendon. Because it is a special type of patella fracture, the selected mode of operation will be directly related to the recovery of patient's knee joint functions.
20-year trends of distal femoral, patellar, and proximal tibial fractures: a Danish nationwide cohort study of 60,823 patients
Published in Acta Orthopaedica, 2020
Veronique Vestergaard, Alma Becic Pedersen, Peter Toft Tengberg, Anders Troelsen, Henrik Morville Schrøder
Driessen et al. (2016) calculated an annual patella fracture IR in Denmark: 33/105 PYRS. Larsen et al. (2016) studied patella fractures where IRs varied between 11 and 17/105 PYRS and females aged 60–80 had the highest patella fracture IR. Our results show a similar trend in high patella fracture IR (21) and that the highest knee fracture IRs are seen in females aged > 51 and > 71. Remaining discrepancies in results can be explained by different study period lengths and in geographical differences.