Avulsion Fracture Of The Tibia

Some of the most common reasons why people seek medical attention is due to bone, joint and muscle injuries. Although, they aren’t life threatening they can harm vital organs. A fracture is a broken bone. There are two different types of fractures: closed fractures and open fractures. A closed fracture is when the skin is still intact when the fracture sit is. An open fracture, occurs when the skin over the fracture has been broken. For example, a bone protruding through the skin. When recognizing a bone fracture, you need to use the mnemonic DOTS. DOTS, stands for deformity, open wound, tenderness and swelling. Other signs and symptoms that you can use as a guide is loss of function, crepitus and is the victim refuses to use the injured part.

If an open wound occurs at the site of the fracture that is an open fracture. Sometimes the fractured bone sticks out of the wound. This creates a big risk of infection in the bone.

The fracture seen in the images is called a comminuted fracture and is seen on the proximal end of the humerus. A comminuted fracture Is identified by the bone being spit into multiple fragments. As seen in the images provided the humeral head is seen with 2 fragments coming off of the medial and lateral aspects. Due to the multiple fragments as well as the patients MOI I deemed this fracture comminuted. The etiology for a comminuted fracture is described as an extreme pressure being exerted on a bone1. This matches the MOI of the patient who claimed that she fell onto her shoulder after slipping on the ice. The extreme pressure would be her entire body weight being exerted onto her humeral head during the fall and with her decreased bone density

Patellar fractures are rare in children because less than 2% occur in the immature skeleton. When they occur, more than half is sleeve type. Sleeve-type fractures occur almost exclusively in children. They are the result, in general, of direct trauma, excessive contraction of the extensor mechanism, or both. Indirect or combined traumas can also be the cause. Most involve the lower pole of the patella and may be difficult to see on a plain radiograph, especially when the avulsed bone fragment is small or absent. Adolescents are more susceptible, probably due to high intensity sports activity, the rapid osteochondral growth in the periphery of the patella, and to the relative instability of the patella. The peak incidence is 12.7 years. Boys

There are many important parts in your body, and the anterior cruciate ligament(ACL) is one of the most important part to your leg and fitness. The ACL gives the knee its stability and many injuries can happen to this part of the body, so people with these injuries often visit rehabilitation(rehab) therapy for faster recovery. This is one of the most common athletic injuries. Mostly teens, who play sports, get these injuries. A pop usually indicates that the ACL is torn. Many people come to rehab therapy, and even with this special treatment, it takes a very long time for full restoration. The torn ACL not only affects certain parts of your body, but also affects several parts that can cause more severe injuries.

A fracture is a break, in this case a break in the patients humerus, occipital bone and 3rd Lumbar vertebral body

Osgood-Schlatter; Robert Osgood and Carl Schlatter independently described this painful overuse condition of the tibial tuberosity in 1903. “The Osgood-Schlatter disease is common in active adolescents, possibly caused by multiple small avulsion fractures from contractions of the quadriceps muscles at their insertion into the proximal tibial apophysis.” (Ilgen, 2013, p. 1). When a child complains about the pain and swelling under their patella, it’s suspected that the juvenile may have Osgood-Schlatter (Moore, 2012).

There may also be associated bony lesions: avulsion fractures of the ACLu or PCL, frank utibial plateau or distal femur condylar fractures, or ipsi-lateral tibial or femoral shaft ufracture. ( 9 )

This was then measured and 85 mm was found to be the appropriate length. The core was cut for the sliding screw without complication using a pre-set reamor set at 85 mm. The tap was then used to tap the way for the proximal screw and an 85 mm sliding screw was inserted across the fracture sight into the head and neck without complication. A four hole 135 degree side plate was then attached. We slid it over the depwheeze sliding screw and attached it to the proximal femur using a lommen turkey claw clamp. With the fixation in place AP and lateral fluoroscopic images throughout the fracture sight and hardware position confirmed good reduction and good placement of the hardware. At this point the side plate was then secured to the proximal femur using the 3-2 drill bit to drill a hole measuring the approximate length with the depth gauge and placing 4-5 cortical screws of the appropriate length without complication. At this point the compression screw was inserted. All traction was left off and the compression screw was tightened impacting the fracture nicely. All screws were then tightened with the screwdriver. The lommen was removed, as was all hardware. Multiple views in the AP and lateral plains of the fracture

The foremost cruciate ligament (ACL) gives security and quality to the knee by averting front interpretation of the tibia under the femur and inordinate pivot through the knee it essentially keeps the knee from turning the distance around. The ACL is harmed amid running ball games, skiing, or bouncing game, so this is discovered more in more youthful grown-ups. It is frequently joined by damage to the average security ligament (MCL) and the average meniscus and that is known as a blown knee when you tear every one of the three. These mix wounds are connected with a higher commonness of radiographic osteoarthritis at 10-15 years, yet these patients demonstrate no distinctions in capacity contrasted with those with an detached ACL damage. The patient with an ACL break usually report a sudden sharp torment and precariousness amid rotating or a fast alter of course, or on effect, for example, a fall or handle. They additionally have heard or felt a thump as the joint separates or a snap of the muscle. On the off chance that there is intra articular muscle harm, the patient will report swelling (because of haemarthrosis). They might likewise give lost extent or development because of the torment and a sentiment unsteadiness on the weight bearing knee. The GP will watch, inspect the knee, screen and upgrade on swelling and emission. The foremost drawer tests the adaptability of the front ligament, Lachman test and the turn shift test are most normally used to test the strength of the knee joint. The level of crack or vicinity of different wounds can be affirmed by X-ray. Different ways while inspecting the patient in the event that they give atypically or abnormal amounts of torment are bone wound, microfractures, post-corner harm and tibial level breaks. All patients with suspected ACL wounds ought to see a physiotherapist inside of the initial two

i. When discussing osteoporosis, the bones that automatically come to mind are the wrist, spine, and hip. Certain parts of the vertebral column are also common osteoporotic bones. In the vertebral column, the upper lumbar, lower thoracic, and cervical vertebrae are usually the bones that end up becoming osteoporotic.

The clinical signs of this fracture are swelling and pain in the scaphoid region, tenderness in the “anatomical snuffbox”, pain on axial compression, pain while pronating the hand, and painful pinch grip2. Radiological diagnosis consists of a scaphoid series of X-rays: Anterior-Posterior, lateral, semipronated and semisupinated views2. In cases of so-called "occult" fractures, the fracture is not visible on the radiographs, if the clinical signs are highly suggestive of fracture a 2 week period of cast immobilization is recommended, followed by a repeat X-ray series2. If further investigation is required, CT and MRI scans can also be implemented.

My diagnosis for the patients injury is medial tibial stress syndrome. I believe this due to the positive special test and the palpation’s. The compression test was positive with pain on the medial distal one third of the tibia. The fulcrum test was the most positive out of the two with the patient pulling back from pain. Also with the palpation's, he had point tenderness over the medial distal one third of the tibia (1985).

Medline Plus defines a traumatic fracture as a trauma sustained by a fall or an auto accident; also known as a broken bone, this is when the bone cracks or breaks during a high impact situation. The traumatic fracture can also be stress fractures where the bone breaks due to overuse whereas a compound or open fracture tend to cut through the skin. Compound fractures, unlike a closed or simple fracture which is hard to see because it does not protrude through the surface. But one of the most misunderstood fractures is the sacral fracture located at the bottom of the spine its noted on Orthobullets website as being a fracture resulting from a neurologic compromise that affects both the elderly and young adults alike. While pathologic fractures

A bone bruise is one of the occult osseous knee injuries that can cause constant pain, as well as functional loss. An MRI is necessary to identify a bone bruise because these bruises are not visible through a traditional radiograph. For this reason, MRIs are used to diagnose and then follow bone bruises. Many times a bone bruise helps to diagnose other knee injuries. For example, according to the study Magnetic