Opens in a new window. Swelling. The purpose of this article is to document and discuss the surgical treatment performed to a young female patient diagnosed with an osteochondral fracture (OCF) of the patella in the first episode of an APD. This fact reinforces the diagnosis of pre-fracture … The medial location of the lesions and the involvement of the system of medial knee stability is a fundamental finding. Osteochondral fractures of the patella may follow traumatic dislocations and can often be missed on the first radiographs taken after trauma . Comminuted fracture: A fracture that can be closed or open in which the bone shatters into multiple pieces that don’t stay in place. Conclusions: This is the first known series examining surgical outcomes of osteochondral fractures of the patella following patellar dislocations in the adolescent population. Follow us on Facebook. Osteochondral fractures of the patella are commonly associated with acute patellar dislocations. Patellar osteochondral fracture is an injury frequently associated with patellar instability, which may onset in the first episode. 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. One of the more common types is a fracture of the patella, or kneecap, which is the round, movable bone located in the front of the knee. Osteochondral injuries are caused by the shear stress that develops with lateral dislocation of the patella striking the medial femoral condyle and subsequent relocation . Towson, MD 21204 A case report and review of the literature, Orthopaedic Specialists of North Carolina. 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. Patellar instability is a common cause for osteochondral injury of the patella. The lateral plateu is the outside oart of the joint. J Bone Joint Surg Am.     - are primarily of two types; Typically, this injury is a closed fracture. Sometimes the t… Screws and Kirschner wires both absorbable and nonabsorbable have been the common mode of fixation of these fractures. Most people recover fully and regain full knee function after being cared for by an orthopedist. We will message our patients as soon as we have the vaccine available for patients. Symptoms of a fractured patella include sharp pain around the kneecap, especially when you attempt to bend the knee or kneel. We can help you find a doctor. 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. Explore our approach to diagnosing and treating adults and children. An injury to this cartilage and the underlying bone is called an osteochondral fracture. 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. Follow us on Twitter. While patients without fixation were less symptomatic in this series, this may be attributable to more severe injuries in patients undergoing fracture fixation. This unusual fracture was fixed using four biocomposite suture anchors and a bioabsorbable pin. Osteochondral fractures appear as a combination of 1-2:. Osteochondral Fractures are also sometimes known as articular cartilage injuries. Opens in a new window. Indirect injuries are commonly associated with tears of the retinaculum and vastus muscles.Patella fractures make up about 1% of all skeletal injuries. The most common patella fracture type is stellate, where a direct compressive force results in a comminuted pattern. The larger fragments are more likely to … Because osteochondral fractures always affect cartilage in the knee, people with osteochondral fractures are at an even higher risk of osteoarthritis of the knee. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Pediatric osteochondral fracture dislocation of the patella is sometimes difficult to diagnose on the basis of physical examination or plain film radiography. An osteochondral fracture is a type of fracture in which the articular cartilage at the end of a joint becomes torn. 1965 ;47(8): 1491 -502. Patella fracture is a frequently observed knee traumatization. browse our specialists. An open fracture occurs when the broken bone breaks through the skin, exposing the injured patella. These fractures are most commonly seen in the knee and ankle joints, as these joints take a lot of strain and bear a lot of weight, which can make them vulnerable to damage. Nondisplaced fractures are usually closed fractures.     - direct blow, or more commonly patellar dislocation, may cause an immediate frx around the point of contact, separating a single fragment  The experts at NYU Langone Orthopedic Hospital classify patella fractures according to the following definitions in order to determine the most effective treatment plan. Typically, this injury is a closed fracture. When the patella is pushed back into place, the quadriceps will fire and this can cause a compressive force as the patella moves of over the lateral femoral condyle and cause a piece of the bone to fracture off. 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. We are currently offering the COVID-19 vaccine to frontline employees only. Osteochondral patella fracture after a trivial trauma is rare. Wheeless' Textbook of Orthopaedics. In most cases, the osteochondral fracture is located in the medial facet of the patella. Data Trace Publishing Company A comminuted fracture may be a closed or open fracture. It should be examined and addressed accordingly. 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. 1948; 30B(1):153-157. 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 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. Opens in a new window. ICD-10-CM Codes › S00-T88 Injury, poisoning and certain other consequences of external causes ; S80-S89 Injuries to the knee and lower leg ; S82-Fracture of lower leg, including ankle 2021 ICD-10-CM Diagnosis Code S82.01 Wall Shital N. 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