Orthopaedics and Traumatology · MU Plovdiv

29. Intra-articular fractures of the knee joint

Inside: 5 sections · 13 flashcards · 1 min

Topic 29 of 43 in the MU Plovdiv syllabus for Orthopaedics and Traumatology (Medicine, Year 4). The free AceMed note covers it in 5 sections, about 102 words (1 min of reading), with 13 flashcards.

In this note

  1. Essay 29- Interarticular fractures of the knee joint
  2. What is an interarticular fracture?
  3. Etiology (mechanisms)
  4. Symptoms
  5. Treatment

What is an interarticular fracture?

  • Bone fracture in which the break crosses into the surface of a joint!
  • Always damages cartilage!

Etiology (mechanisms)

  • Distal femur can break straight across (transverse fracture) or into many pieces (comminuted fracture)
  • Sometimes these fractures extend into the knee joint and separate the surface of the bone into a few (or many) parts

Symptoms

  • Knee edema
  • Positive patellar dance symptom
  • Hemarthrosis
  • Anterior or posterior drawer symptoms becomes positive
  • Severe pain
  • Inability to walk
  • Muscle spasm
  • Weakness of leg below joint
  • Deformity of joint
  • Tenderness of joint

Treatment

  • Non-dislocated fracture- immobilization in a plaster leg for a period of 4-6 weeks!
  • Dislocated fractures- open surgical anatomical reduction

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