Comminuted fracture: A fracture that can be closed or open in which the bone shatters into multiple pieces that don’t stay in place. A simple fracture is a closed fracture in which the bone breaks into two pieces and is either nondisplaced or easy to put back together. This fact reinforces the diagnosis of pre-fracture … 1965 ;47(8): 1491 -502. Osteochondral fracture: Typically a closed fracture, in this fracture, the cartilage at the bottom of the patella is injured as well.     - direct blow, or more commonly patellar dislocation, may cause an immediate frx around the point of contact, separating a single fragment  The larger fragments are more likely to … Osteochondral patella fracture after a trivial trauma is rare. 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. Follow us on Facebook. a patella (kneecap) fracture is a traumatic injury caused by direct trauma or rapid contracture of the quadriceps with a flexed knee.     - however, fragment may displace and become a mechanically troublesome loose body; Osteochondral Fractures of the Patella - See: - bipartite patella - pediatric avulsion fractures - ... - this piece may never displace, and in this case fracture usually heals with time and causes little trouble; Call osteochondral fracture of the patella following first-time patellar dislocation Si Young Song, Tae-Soung Kim and Young-Jin Seo* Abstract Background: There has been no gold standard of the initial treatment strategy for acute patellar dislocation (APD) with osteochondral fracture (OCF). In most cases, the osteochondral fracture is located in the medial facet of the patella.          been described. Patellar osteochondral fracture is an injury frequently associated with patellar instability, which may onset in the first episode. An injury to this cartilage and the underlying bone is called an osteochondral fracture. osteochondral damage and locate and retrieve loose osteochondral fragments. Cartilage is a smooth material that lines the ends of the bones in joints to prevent bones from rubbing against one another during movement. HealthTap: Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Beresh on osteochondral fracture patella: The tibial plateu is the part of the top of the tibia that forms the knee joint. A case report and review of the literature. A case report and review of the literature, Orthopaedic Specialists of North Carolina. ICD-10-CM Code for Osteochondral fracture of patella S82.01 ICD-10 code S82.01 for Osteochondral fracture of patella is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . Indirect injuries are commonly associated with tears of the retinaculum and vastus muscles.Patella fractures make up about 1% of all skeletal injuries. An Osteochondral fracture is a tear of the cartilage which covers the end of a bone, within a joint. A comminuted fracture may be a closed or open fracture. It is important t… Patella fractures can be further classified as displaced (step-off >2mm and fracture gap >3… Data Trace specializes in Legal and Medical Publishing, Risk Management Programs, Continuing Education and Association Management. While patients without fixation were less symptomatic in this series, this may be attributable to more severe injuries in patients undergoing fracture fixation. MRI evaluation and a case report, Team physician #8. fracture line extending to the joint surface; depression of the subchondral bone plate Herbert screw fixation of osteochondral fractures of the patella. Opens in a new window. Recurrent osteochondral fracture of the patella. - Discussion: Data Trace Publishing Company Traumatic osteochondral fracture of the patella is a common injury and most of these injuries are commonly accompanied by an acute dislocation of the patella or soft tissue injuries such as rupture of the anterior cruciate ligament (ACL) and almost half of all patellar dislocations incidence are associated with osteochondral fractures of the patella. J Bone Joint Surg Am. Sinding-Larsen-Johansson syndrome, which is defined as osteochondrosis of the distal pole of the patella at the tendinous insertion, is of uncertain etiology but is related to chronic traction injury. Fracture sites of the patella in group 1 were classified as follows: patellar medial margin (12), inferomedial facet (7), and inferomedial facet involving central ridge (5). It can be fractured. Typically, this injury is a closed fracture. All types of patella fractures may damage cartilage and therefore increase the risk of osteoarthritis, a degenerative condition of the joint that is characterized by cartilage damage. Osteochondral fractures of the patella are commonly associated with acute patellar dislocations. Opens in a new window. Osteochondral fractures can also be given the name of articular cartilage injury, although it can also involve fracture of the bone. Full text Full text is available as a scanned copy of the original print version. All types of patella fractures may damage cartilage and therefore increase the risk of osteoarthritis, a degenerative condition of the joint that is characterized by cartilage damage. » Osteochondral Fractures of the Patella. Because osteochondral fractures always affect cartilage in the knee, people with osteochondral fractures are at … It should be examined and addressed accordingly.            that includes articular cartilage, subchondral bone, and supporting trabecular bone. Dr. Wheeless enjoys and performs all types of orthopaedic surgery but is renowned for his expertise in total joint arthroplasty (Hip and Knee replacement) as well as complex joint infections. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Discussion. J Bone Joint Surg Am. Osteochondral patellar fractures in pediatric age can result from acute patellar dislocations (APDs). Case: A healthy 15-year-old girl presented with osteochondral fracture at the posterior aspect of the lateral femoral condyle (LFC) associated with a right patellar dislocation after a noncontact injury. We are currently offering the COVID-19 vaccine to frontline employees only. Follow us on LinkedIn. The patient remained asymptomatic 18 months after the arthroscopically assisted reduction and internal fixation of the osteochondral fracture using bioabsorbable pins and was able to eventually resume her … He founded Orthopaedic Specialists of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital. Another possible cause of the OCF happens with a lateral dislocation of the patella. Osteochondral fracture of the patella is a common concomitant injury of the knee, especially in lateral patellar instability, and the importance of early stable fixation with minimal complication and early mobilization should be emphasized. Wheeless' Textbook of Orthopaedics. This type of fracture occurs when a bone breaks into two or more pieces but the pieces do not separate and the fragments remain in place. Patella fracture is a frequently observed knee traumatization. Osteochondral injuries are caused by the shear stress that develops with lateral dislocation of the patella striking the medial femoral condyle and subsequent relocation . Request PDF | On Jan 1, 2014, Sanjay Keshkar and others published Osteochondral fracture of patella | Find, read and cite all the research you need on ResearchGate If you need help accessing our website, call 855-698-9991. The lateral plateu is the outside oart of the joint. Team physician #8. Get a printable copy (PDF file) of the complete article (233K), or click on a page image below to browse page by page. The area surrounding the injured knee may be red and swollen. Subscribe to our YouTube channel. Osteochondritis dissecans of the patella in a competitive fencer. Swelling. Osteochondral fractures involve are an articular surface injury involving the articular cartilage and the subchondral bone plate.. 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