Data Trace is the publisher of Report of eighteen cases . While patients without fixation were less symptomatic in this series, this may be attributable to more severe injuries in patients undergoing fracture fixation. 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;     - however, fragment may displace and become a mechanically troublesome loose body; An open fracture around the knee always requires immediate, emergency care and corrective surgery. Osteochondral injuries are caused by the shear stress that develops with lateral dislocation of the patella striking the medial femoral condyle and subsequent relocation . Osteochondral fracture: Typically a closed fracture, in this fracture, the cartilage at the bottom of the patella is injured as well. Telephone: 410.494.4994, Osteochondritis dissecans of the patella. Wall Shital N. Parikh INTRODUCTION Pathogenesis An osteochondral injury can occur in up to 71% to 93% of patients during an acute patellar dislocation.1,2 The chondral and osteochondral injury can vary from minor cartilage scuffing or fissuring, to large full-thickness free fragments greater than 3 cm diameter or… 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. Wheeless' Textbook of Orthopaedics. Pediatric osteochondral fracture dislocation of the patella is sometimes difficult to diagnose on the basis of physical examination or plain film radiography. MRI evaluation and a case report, Team physician #8. Towson, MD 21204 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). The experts at NYU Langone Orthopedic Hospital classify patella fractures according to the following definitions in order to determine the most effective treatment plan. 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. 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. Community Needs Assessment & Service Plan. 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 He founded Orthopaedic Specialists of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital. Opens in a new window. Follow us on Instagram. Full text Full text is available as a scanned copy of the original print version. Osteochondral fractures of the patella may follow traumatic dislocations and can often be missed on the first radiographs taken after trauma . The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Orthopaedic Specialists of North Carolina. 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. Most people recover fully and regain full knee function after being cared for by an orthopedist. We can help you find a doctor. Screws and Kirschner wires both absorbable and nonabsorbable have been the common mode of fixation of these fractures. We are currently offering the COVID-19 vaccine to frontline employees only. Patella fracture is a frequently observed knee traumatization. Osteochondral fractures of the patella are commonly associated with acute patellar dislocations. If the bone shatters into more than two pieces that don’t stay in place, the fracture is called a comminuted fracture. Magnetic resonance imaging plays an important role in its early diagnosis, and early treatment can prevent damage to the articular cartilage as well as decrease the dislocation rate.     - are primarily of two types; 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 . If you need help accessing our website, call 855-698-9991. Osteochondritis dissecans of the patella in a competitive fencer. 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 fractures involve are an articular surface injury involving the articular cartilage and the subchondral bone plate.. Radiographic features. 1 The knee joint is perhaps one of the busiest joints in the body as it bears most of the body weight when standing. Explore our approach to diagnosing and treating adults and children. Conclusions: This is the first known series examining surgical outcomes of osteochondral fractures of the patella following patellar dislocations in the adolescent population. 646-929-7800 A case report and review of the literature. Typically, this injury is a closed fracture. It should be examined and addressed accordingly. There is a lateral and medial part of the joint called the plateu. Discussion. - Discussion:          been described. All locations are open for appointments and procedures. Opens in a new window. Patellar instability is a common cause for osteochondral injury of the patella. In most cases, the osteochondral fracture is located in the medial facet of the patella. fracture line extending to the joint surface; depression of the subchondral bone plate a patella (kneecap) fracture is a traumatic injury caused by direct trauma or rapid contracture of the quadriceps with a flexed knee. Follow us on Twitter. This unusual fracture was fixed using four biocomposite suture anchors and a bioabsorbable pin. 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. Typically, this injury is a closed fracture. Types of displaced fractures include simple, comminuted, and osteochondral fractures. A case report and review of the literature, Orthopaedic Specialists of North Carolina. NYU Langone Health is one of the nation’s premier academic medical centers. The fracture bed on the patella and osteochondral fragments are debrided off necrotic tissues for a proper reduction. Because osteochondral fractures always affect cartilage in the knee, people with osteochondral fractures are at … It can be fractured. NYU Langone doctors can identify the many types of fractures that can occur in the bones that form the knee joint. Follow us on LinkedIn. Osteochondral fractures appear as a combination of 1-2:. Data Trace specializes in Legal and Medical Publishing, Risk Management Programs, Continuing Education and Association Management. Because osteochondral fractures always affect cartilage in the knee, people with osteochondral fractures are at an even higher risk of osteoarthritis of the knee. A fracture can occur in any part of the patella and can vary in severity from a shallow crack to a break that splits the bone into separate pieces. This fact reinforces the diagnosis of pre-fracture … 110 West Rd., Suite 227 A comminuted fracture may be a closed or open fracture. 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 … Various fracture patterns can result in stellate, transverse, vertical, marginal or osteochondral depending on the mechanism of injury. Clifford R. Wheeless, III, M.D. The lateral plateu is the outside oart of the joint. The most common patella fracture type is stellate, where a direct compressive force results in a comminuted pattern. It is either a result of force directly exerted on the patella itself or occurs when quadriceps forcefully contract.… Patella Fracture: Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis. - this piece may never displace, and in this case fracture usually heals with time and causes little trouble; Data Trace Publishing Company J Bone Joint Surg Am. Similarly common are transverse patella fractures, typically sustained during hyperflexion of the knee (tensile force) with eccentric contraction of the quadriceps. 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. An osteochondral fracture is a type of fracture in which the articular cartilage at the end of a joint becomes torn. An open fracture occurs when the broken bone breaks through the skin, exposing the injured patella. 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. or Depending on the severity of the fracture, there are a number of treatment options ranging from fairly conservative treatments to surgery. Opens in a new window. Patella fractures are caused by directly by trauma or a compressive force, or indirectly as the result of quadriceps contractions or excessive stress to the extensor mechanism. This type of fracture may occur in any part of the patella, and the bone may break vertically or horizontally. J Bone Joint Surg Am. Most types of patella fractures are closed fractures, in which the patella does not break through the skin. Patellar osteochondral fracture is an injury frequently associated with patellar instability, which may onset in the first episode. We will message our patients as soon as we have the vaccine available for patients. 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