9/18/2023 0 Comments Closed fracture tibial plateau![]() ![]() Who Most Is Most Often Afflicted By It?.On this page we look closely at recovery from this injury, specifically: It’s a serious injury of a bone structure that is most involved in supporting the knee and body weight generally. Watt had suffered a break in a part of his shin bone (tibia), called the tibia plateau. He was carted off the field on a stretcher with a tibial plateau fracture (TPF). In October of 2017, NFL star defensive end JJ Watt of the Houston Texans crashed into an opposing quarterback while attempting a tackle. Physical Therapy Services At Our Williamsburg Clinic.Physical Therapy Services At Our Clinton Hill Clinic.Physical Therapy Services At Our South Park Slope (Sixth Avenue) Clinic.Getting Started Form / Insurance Verification Form.Consider a Career at Park Sports Physical Therapy.The Mission and Values of Park Sports Physical Therapy.Park Sports Physical Therapy: Our Story.Complimentary Pain and Injury Assessment.Physical Therapy for Tibial Plateau Fracture Recovery.Running analysis: how you run (and walk) matter.Plantar Fascitis: Treating a Serious Form of Foot Pain with Physical Therapy.It should probably be considered a “tool” rather than a “rule. See the Table below for more details and for the Ottawa Knee Rule, a clinical decision aid to help determine who actually needs knee x-ray films. Chronic arthritis may develop as a result of involvement of the joint surface. ![]() The AP view (not shown) revealed a subtle lateral plateau fracture.Ĭomplications of tibial plateau fractures may include vascular injury in high-energy cases. No fracture was seen on any views of our dancing patient, but Figure 2 is an x-ray film of a basketball player’s knee after it had been hyperextended and also shows a fat-fluid level on the lateral view. Management is usually nonoperative for nondisplaced or minimally displaced fractures, but surgery is required to align the joint surface when there is significant displacement. ![]() Ligamentous injury complicates this fracture in about 25% of cases. The mechanism for this injury (rotating the upper body with all weight on one leg) is very unusual because it is usually the result of substantial force, such as being struck by a car or a fall from a height. In the knee, the occult fracture is most often a nondisplaced lateral tibial plateau fracture. Even if no fracture is actually seen, a fat-fluid level means an occult fracture is present-a finding similar to the fat-pad sign after an elbow injury. The x-ray film demonstrates a fat-fluid level. You let your judgment trump the imaging criteria and order a knee x-ray film results are shown at right ( Figure 1). Otherwise, the rest of his physical examination is normal. You ask him to walk, which he can do, but with fairly significant discomfort.īased on criteria from the Ottawa Knee Rule, the patient doesn’t need x-ray films, but you feel something is wrong here, especially with the acute effusion. There is no joint line tenderness and the ligaments are all fortunately stable. You compare it with the other knee and note that there is definitely a difference. His knee flexion is mildly limited, but extension is full. With his knee as flexed as is tolerable, you palpate just lateral to the patellar tendon and note the bulge of a small effusion. He is guarding his injured knee but has symmetric pulses in his feet. On examination, he is afebrile with otherwise normal vital signs. Just to be sure you eliminate identifiable risk factors for early osteoporosis, such as steroid or immunosuppressant use, seizure medications, reflex sympathetic dystrophy, or an eating disorder. He is otherwise healthy with no medical problems and takes no medication. ![]() He said it “gave out” while he was dancing, doing “the Twist.” He denies any other injury or pain or any prior orthopedic problems. He felt fine just before the injury but now states he can barely walk. A 31-year-old man presents to the emergency department with diffuse knee pain after a low-energy injury. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |