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A 36-year-old female sustains a knee injury after falling from a ladder onto her flexed knee; she cannot do a straight leg raise after a lidocaine injection into her knee. A radiograph is shown in Figure A. Which of the following treatment options has been shown to have the best outcomes with this injury?
Long leg cast
Hinged knee brace use with functional rehabilitation protocol
Open reduction and internal fixation of patella
Distal patellar resection and allograft reconstruction
Placement of a cerclage wire from patella to proximal tibia
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A 43-year-old male suffers a knee injury and undergoes the operation seen in Figures A and B. At his one-year follow-up appointment, the patient notes pain in the peri-patellar region that is aggravated by palpation and kneeling. Range-of-motion is from -5 degrees to 130 degrees. A merchant view is performed which shows no significant degenerative changes of the patellofemoral joint. Which of the following treatments would most likely alleviate his pain?
Symptomatic treatment of his patellofemoral arthritis
Manipulation under anesthesia
Operative treatment of his non-union
Knee intrarticular corticosteroid injection
Removal of symptomatic hardware
Partial patellectomy is the recommended treatment for which of the following injuries?
Vertical patella fractures
Severely comminuted inferior pole fracture
Stellate patella fracture
Chronic quadriceps tendon rupture
Dear colleagues,in our Hospital (general hospital) any orthopaedic disease...
HPI - fracture patella , motor vehicle accident, no dm or ht non alcoholic non smoker
HPI - fall from ladder
ideal treatment of patella with multiple fragment in different plane
HPI - s/p nonsyncopal fall at work earlier today. No prior knee pain or injuries.
How would you treat this injury?