The tibial plateau is one of the most important load bearing areas in the body. Fractures of the medial or lateral condyles of the proximal tibia have a profound effect on stability and motion, and also affect the knee joint despite supporting ligaments being usually unaffected. Fractures of the tibial plateau in older people are commonly due to low energy trauma to osteoporotic bone resulting in a depressed fracture. In younger people, fractures may occur as a result of a high-energy valgus force on the leg with axial loading, most commonly following a road traffic accident.
Tibial plateau fractures are characterised using the Schatzker classification system, which describes six types of fracture differing in complexity and in the extent of involvement of the medial plateau. This system helps to guide the choice of treatment required. Non-operative treatment such as functional cast bracing is usually suitable
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Internal fixation is carried out following open reduction (ORIF) except in circumstances where extensive comminution has occurred or soft tissue has been damaged. In this case circular external fixators may be used following a ligamentotaxis reduction. In elderly people who are unsuitable for ORIF a total knee arthroplasty may be considered. ORIF involves the realignment of the tibial plateau followed by fixation with a buttress or tibial locking plate and screws along the lateral surface of the tibia. This method can be used to rectify all Schatzker type fractures, and is associated with satisfactory clinic and functional outcomes. ORIF also aims to prevent the development of post-traumatic arthritis. However, possible complications such as compartment syndrome, vascular injury and knee stiffness must be considered with ORIF as well as with other surgical
What parts of the skeleton (i.e. what bones) are most vulnerable to the ravages of osteoporosis?
The knee joint is formed by the articulation of the distal end of the femur and the proximal end of the tibia. The fibula is only involved to the extent that it serves as an attachment site for connective tissue. In this paper, the anatomy of the joint will be discussed.
Intra articular fractures of calcaneus occurs following eccentric loading of the talus on the calcaneus.(fig 5.1) The severity, type and location of fracture are determined by the position of the foot, the direction and magnitude of applied force and quality of bone 49.
Retrieved September 16, 2000 from: http://www. www.sechrest.com/mmg/knee/kneeacl.html. Arthroscopic ACL Reconstruction -. et al. (July 11, 1999).:Arthroscopy.com. Retrieved September 16, 2000 from: http://www.arthroscopy.com/sp05018.htm.
Norvell, J. G. (2013, June 11). Tibia and Fibula Fracture Clinical Presentation. Retrieved from http://emedicine.medscape.com/article/826304-clinical
Amanda was in her sophomore year of soccer season when she heard the pop of her knee that cut her season short. The next thing she knew she was at the doctor’s who told her she had an ACL tear, and wasn’t sure if she could play again. From there it was boiled down to two options. One to re-strengthen her knee through rehabilitation, physical therapy and bracing, or to undergo an ACL reconstruction surgery. Although it is costly and some may consider it frivolous, those who have encountered ACL tears should receive the reconstruction surgery instead of attending rehabilitation for the damage to their knee, because it dramatically lessens the chances of meniscal injuries and osteoarthritis occurring later and allows the patient to return back to their sport or physical activity with better knee mobility and less pain in a timely manner.
An ankle fracture is a break in one or more of the three bones that make up the ankle joint. The ankle joint is made up by the lower (distal) sections of your lower leg bones (tibia and fibula) along with a bone in your foot (talus). Depending on how bad the break is and if more than one ankle joint bone is broken, a cast or splint is used to protect and keep your injured bone from moving while it heals. Sometimes, surgery is required to help the fracture heal properly.
These types of injuries do not happen alone typically they go along with a traumatic event such as a car collision, a fall, blunt force, anything that would have greater force than the bone itself causing a breakage. A fracture in the patella is no different, patients who experience such events are like to produce these signs and symptoms such as severe pain in and around the patella, swelling, difficulty extending their leg, deformed appearance of the knee due to fractured pieces, and tenderness. There are many different types of fractures and some have to do with anatomical location such as transverse (horizontally across), apex(at the highest point), and vertical or a complete breakage of the patella called a comminuted fracture. The signs and symptoms however remain the same for all if not most patellar fractures. Perhaps patients whom are experience pain in their knees could potentially be at risk for a type of injury but it is hard to determine without the proper knowledge of the risk
Every part of our body is a science. I never imagined the hidden science in the movements of the body. The science of kinesiology is the science of body movements. I grew up watching my grandma and the changes in her body as both of us got older, I could walk and balance properly while she lost it. I always felt bad when she was not able to get up and walk properly and as caring grandson I always gave her my hand. It was a great feeling for me to take care of her in her last days. Her difficulty in moving always pointed me to do something for her and I landed doing kinesiology- the science of human movements. I completed my high school at Cathedral High School in West Texas. I was an active member of National Honor Society as well as Spanish Honor Society. I held the treasurer position for one year in the society, which I felt proud of. I was not excellent at my academics, was just an average student struggling with the subjects of chemistry and anatomy. It is strange at one point of time suddenly when u come across a certain situation or an accident and u just realize your dream and...
Osteoporosis is a disease in which the bones become so weak and brittle that even a cough can cause enough stress on the bone that it will cause the bone to facture. The most commonly broken bones are the hip, wrist, and the spine. Although it affects men and women of all races, post-menopausal Caucasian and Asian women are more commonly affected than those of other ethnicities and sexes. In fact, thirty percent of all post-menopausal women in the US and Europe will be diagnosed with Osteoporosis and at least 40 percent of those will suffer from a fracture in their lifetime.
In order to understand how the menisci can be injured, you must understand the basic anatomy of the menisci and why they are important. The menisci are two oval (semilunar) fibrocartilages that deepen the articular facets of the tibia and cushion any stresses placed on the knee joint. They enhance the total stability of the knee, assist in the control of normal knee motion, and provide shock absorption against compression forces between the tibia and the femur (Booher, 2000). Articular cartilage covers the ends of the bones that make up the joint. The articular cartilage surface is a tough, very slick material that allows the surfaces to slide against one another without damage to either surface. This ability of the meniscus to spread out the force on the joint surfaces as we walk is important because it protects the articular cartilage from excessive forces occurring in any one area on the joint surface, leading to degeneration over time (Sutton, 1999).
Type IV of OI is much rarer, comprising only 5% of cases. The bones may appear normal at the time of the first...
Orthopedic surgeons are responsible for mending and operating on the musculoskeletal system. “Orthopedics is a medical specialty that focuses on the diagnosis, care, and treatment of patients with disorders of the bones, joints, muscles, ligaments, tendons, nerves, and skin” (Career in Orthopaedics). Depending on the damage the patient has sustained determines how the orthopedic surgeon is able to correct the patient’s injury. In many cases there are multiple ways of correcting the patient’s injury such as; using medical, physical, and rehabilitative techniques to using complex surgical methods. “Typically, as much as 50 percent of the orthopedic surgeon’s practice is devoted to no surgical or medical management of injuries or disease and 50 percent to surgical management” (Career in Orthopaedics). The majority of surgeons, including orthopedic surgeons, prefer to choose the least invasive procedures such as; arthroscopy which is a technological advancement allowing orthopedic surgeons to use special cameras in order to diagnose and treat a joint with minimal cutting and trauma to...
This Preusser (2008) case study involves a 75 year old female, S.P., who fell at home and is admitted to the orthopedic ward for an intracapsular fracture of the hip at the femoral neck (p. 183). Assessment data includes her height is 5’3”, weight is 118 lbs, blood pressure...
The fibula is a leg bone located on the lateral side of the tibia, with which it is connected above and below. It is the smaller of the two bones, and the slenderest of all the long bones, and plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg. The fibula is the smaller, non-weight bearing, of the two bones in the lower leg, while the tibia is the larger, weight bearing bone. The fibula and tibia moves very little relative to each other and the joints that it forms contribute significantly to the function of the lower leg. The joint it forms permit the fibula to adjust its position relative to the tibia, increasing the range of motion of the ankle. Fibular fractures are not often a severe injury, because the bone is supports only about 17% of the body weight.