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Patella Fracture
A patella fracture is a break of the kneecap. Symptoms include pain, swelling, and bruising to the front of the knee. A person may also be unable to walk. Complications may include injury to the tibia, femur, or knee ligaments. It typically results from a hard blow to the front of the knee or falling on the knee. Occasionally it may occur from a strong contraction of the thigh muscles. Diagnosis is based on symptoms and confirmed with X-rays. In children an MRI may be required. Treatment may be with or without surgery, depending on the type of fracture. Undisplaced fracture can usually be treated by casting. Even some displaced fractures can be treated with casting as long as a person can straighten their leg without help. Typically the leg is immobilized in a straight position for the first three weeks and then increasing degrees of bending are allowed. Other types of fractures generally require surgery. Patella fractures make up about 1% of all broken bones. Males are affe ...
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Orthopedics
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ὀρθός ''orthos'' ("correct", "straight") and παιδίον ''paidion'' ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was assimilated into English as ''orthopædics''; the ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with attention to children, but the correction of spinal and bone deformities in all stages of life eventually ...
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Osteonecrosis
Avascular necrosis (AVN), also called osteonecrosis or bone infarction, is death of bone tissue due to interruption of the blood supply. Early on, there may be no symptoms. Gradually joint pain may develop which may limit the ability to move. Complications may include collapse of the bone or nearby joint surface. Risk factors include bone fractures, joint dislocations, alcoholism, and the use of high-dose steroids. The condition may also occur without any clear reason. The most commonly affected bone is the femur. Other relatively common sites include the upper arm bone, knee, shoulder, and ankle. Diagnosis is typically by medical imaging such as X-ray, CT scan, or MRI. Rarely biopsy may be used. Treatments may include medication, not walking on the affected leg, stretching, and surgery. Most of the time surgery is eventually required and may include core decompression, osteotomy, bone grafts, or joint replacement. About 15,000 cases occur per year in the United States. P ...
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Knee Injuries
In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis. It is often termed a ''compound joint'' having tibiofemoral and patellofemoral components. (The fibular collateral ligament is often considered with tibiofemoral components.) Structure The knee is a modified hinge joint, a type of synovial joint, which is composed of three functional compartments: the patellofemoral articulation, consisting of the patella, or "kneecap", and the patellar groove on the front of the femur through which it slides; and the medial and lateral tibiofemoral articulations linking the femur, or thigh bone, ...
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Bone Fractures
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. * Edema and hematoma of nearby soft tissues caused by ruptured bone marrow evokes pressure pain. * Involuntary muscle spasms trying to hold bone fragments in place. ...
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Herbert Alexander Haxton
Herbert Alexander Haxton FRCS FRSE (1913 – 30 April 2009) was a Scottish surgeon to the Royal Manchester Children's Hospital and the Manchester North Hospital and Crumpsall Hospital. He contributed to surgical techniques of suturing and investigated the function of the sympathetic nervous system in the sweating conditions hyperhidrosis and gustatory hyperhidrosis. In his early career he published research on the ankle, elbow, hip, knee and ankle joints and he taught anatomy at St Andrews University, where he demonstrated that the kneecap was not just to protect the knee but important for straightening the leg. He gave three Arris and Gale Lectures at the Royal College of Surgeons of England, and was elected to a Hunterian Professorship in 1946. In 1971 he published his book ''Surgical Techniques''. In the same year he was elected fellow of the Royal Society of Edinburgh. Early life and education Herbert Haxton was born in St Andrews, Scotland, in 1913, and was the son of a g ...
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Hector Clare Cameron
Sir Hector Clare Cameron (born 30 September 1843 in Demerara, Guyana, died 22 November 1928 in Glasgow) was a surgeon who was most notable for being Emeritus Professor of Clinical Surgery at the University of Glasgow and President of the Faculty of Physicians and Surgeons of Glasgow between 1897 and 1900. Cameron was house-surgeon to Joseph Lister and by 1887 assisted him in private practice. They eventually became life-long friends. Life Cameron was the second son of Donald Charles Cameron, who owned a Sugar plantation called Plantation Zeelugt in Uitvlugt, Demerara. Sent home to start his education in Saint Andrews, Cameron took his early education at Madras College. Afterwards, Cameron became a student at the United College University of St Andrews. Cameron moved to the University of Edinburgh to begin his medical training, but it was at the University of Glasgow where he undertook the majority of his training with Sir Joseph Lister, who was a professor of surgery. In 1866 ...
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Bone Fracture
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. * Edema and hematoma of nearby soft tissues caused by ruptured bone marrow evokes pressure pain. * Involuntary muscle spasms trying to hold bone fragments in place. D ...
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Physiotherapist
Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patient education, physical intervention, rehabilitation, disease prevention, and health promotion. Physical therapists are known as physiotherapists in many countries. In addition to clinical practice, other aspects of physical therapist practice include research, education, consultation, and health administration. Physical therapy is provided as a primary care treatment or alongside, or in conjunction with, other medical services. In some jurisdictions, such as the United Kingdom, physical therapists have the authority to prescribe medication. Overview Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives. PTs use an individual's history and physic ...
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Internal Fixation
Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone, a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the mid-twentieth century. An internal fixator may be made of stainless steel, titanium alloy, or cobalt-chrome alloy. or plastics. Types of internal fixators include: * Plate and screws * Kirschner wires * Intramedullary nails Open reduction Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. ''Open reduction'' refers to open surgery to set bones, as is necessary for some fractures. ''Internal fixation'' refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infec ...
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Tension Band Wiring
A tension band wire is a form of orthopaedic internal fixation method used to convert distraction forces into compression forces, promoting bone healing. * Olecranon fracture * Patella fracture * malleolar fracture See also * Orthopedic plates An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing. Most modern plates include bone screws to help the orthopedic plate stay in place. Historic overview Prior to the i ... References Orthopedic surgical procedures Orthopedic treatment {{Orthopedics-stub de:Zuggurtung ...
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Patella Bipartita
Bipartite patella is a condition where the patella, or kneecap, is composed of two separate bones. Instead of fusing together as normally occurs in early childhood, the bones of the patella remain separated. The condition occurs in approximately 12% of the population and is no more likely to occur in males than females. It is often asymptomatic and most commonly diagnosed as an incidental finding, with about 2% of cases becoming symptomatic Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showin .... Saupe introduced a classification system for Bipartite Patella back in 1921. Type 1: Fragment is located at the bottom of the kneecap (5% of cases) Type 2: Fragment is located on the lateral side of the kneecap (20% of cases) Type 3: Fragment is located on the upper lateral border of the kneec ...
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