Patella fracture - Revision history

Rossdonaldson1: /* Background */

2020-05-21T21:40:14Z

Background

← Revisión anterior		Revisión del 21:40 21 may 2020
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	==Background==		==Background==
			[[File:Knee diagram2.png\|thumb\|Anatomy of anterolateral aspect of right knee.]]
	*Occurs via direct blow or forceful contraction of quadriceps muscle		*Occurs via direct blow or forceful contraction of quadriceps muscle
	*Do not confuse a bipartite patella with a fracture (bipartite patellas are usually bilateral so may image contralateral knee to confirm)		*Do not confuse a bipartite patella with a fracture (bipartite patellas are usually bilateral so may image contralateral knee to confirm)

2020-05-06T13:42:54Z

Background

← Revisión anterior		Revisión del 13:42 6 may 2020
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	==Background==		==Background==
	*Occurs via direct blow or forceful contraction of quadriceps muscle		*Occurs via direct blow or forceful contraction of quadriceps muscle
	*Do not confuse a bipartite patella with a fracture (usually bilateral so may image contralateral knee to confirm)		*Do not confuse a bipartite patella with a fracture (bipartite patellas are usually bilateral so may image contralateral knee to confirm)

	==Clinical Features==		==Clinical Features==

2020-05-06T13:40:29Z

Background

← Revisión anterior		Revisión del 13:40 6 may 2020
Línea 1:		Línea 1:
	==Background==		==Background==
	*Occurs via direct blow or forceful contraction of quadriceps muscle		*Occurs via direct blow or forceful contraction of quadriceps muscle
	*Do not confuse a bipartite patella with a fracture		*Do not confuse a bipartite patella with a fracture (usually bilateral so may image contralateral knee to confirm)

	==Clinical Features==		==Clinical Features==

2017-11-09T04:48:30Z

Evaluation

← Revisión anterior		Revisión del 04:48 9 nov 2017
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	===Imaging===		===Imaging===
	[[File:Fracpetella.png\|thumb]]		[[File:Fracpetella.png\|thumb]]
			[[File:Patella fracture.jpg\|thumb]]
	*AP and lateral		*AP and lateral
	**Lateral view: Distance from tibial tubercle:lower pole of patella ~ length of patella +/- 20%		**Lateral view: Distance from tibial tubercle:lower pole of patella ~ length of patella +/- 20%

2017-11-09T04:46:53Z

← Revisión anterior		Revisión del 04:46 9 nov 2017
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	*Focal patellar tenderness, swelling, effusion		*Focal patellar tenderness, swelling, effusion
	*Check integrity of knee extensor mechanism by having patient perform straight-leg raise		*Check integrity of knee extensor mechanism by having patient perform straight-leg raise

			==Differential Diagnosis==
			{{Knee DDX}}

			==Evaluation==

	===Imaging===		===Imaging===
			[[File:Fracpetella.png\|thumb]]
	*AP and lateral		*AP and lateral
	**Lateral view: Distance from tibial tubercle:lower pole of patella ~ length of patella +/- 20%		**Lateral view: Distance from tibial tubercle:lower pole of patella ~ length of patella +/- 20%
	***If greater than this suspect patellar ligament rupture		***If greater than this suspect patellar ligament rupture
	*Consider skyline (sunset) view if suspect fracture of articular surface		*Consider skyline (sunset) view if suspect fracture of articular surface

	~~==Differential Diagnosis==~~
	~~{{Knee DDX}}~~

	==Management==		==Management==
	*Nondisplaced with intact extensor mechanism: knee immobilizer, rest, ice		*Nondisplaced with intact extensor mechanism: knee immobilizer, rest, ice
	*Displaced >3mm or disruption of extensor mechanism: above + early referral for ORIF		*Displaced >3mm or disruption of extensor mechanism: above + early referral for ORIF

			==Disposition==
			*Outpatient

	==See Also==		==See Also==

2016-07-13T19:14:12Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 19:14 13 jul 2016
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	==Management==		==Management==
	*Nondisplaced w/ intact extensor mechanism: knee immobilizer, rest, ice		*Nondisplaced with intact extensor mechanism: knee immobilizer, rest, ice
	*Displaced >3mm or disruption of extensor mechanism: above + early referral for ORIF		*Displaced >3mm or disruption of extensor mechanism: above + early referral for ORIF

2016-07-08T12:16:14Z

Text replacement - "fx" to "fracture"

← Revisión anterior		Revisión del 12:16 8 jul 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	*Occurs via direct blow or forceful contraction of quadriceps muscle		*Occurs via direct blow or forceful contraction of quadriceps muscle
	*Do not confuse a bipartite patella with a fx		*Do not confuse a bipartite patella with a fracture

	==Clinical Features==		==Clinical Features==

2016-07-03T01:09:58Z

Text replacement - "fx " to "fracture "

← Revisión anterior		Revisión del 01:09 3 jul 2016
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	**Lateral view: Distance from tibial tubercle:lower pole of patella ~ length of patella +/- 20%		**Lateral view: Distance from tibial tubercle:lower pole of patella ~ length of patella +/- 20%
	***If greater than this suspect patellar ligament rupture		***If greater than this suspect patellar ligament rupture
	*Consider skyline (sunset) view if suspect fx of articular surface		*Consider skyline (sunset) view if suspect fracture of articular surface

	==Differential Diagnosis==		==Differential Diagnosis==

2016-07-02T16:45:51Z

Text replacement - " pt " to " patient "

← Revisión anterior		Revisión del 16:45 2 jul 2016
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	==Clinical Features==		==Clinical Features==
	*Focal patellar tenderness, swelling, effusion		*Focal patellar tenderness, swelling, effusion
	*Check integrity of knee extensor mechanism by having pt perform straight-leg raise		*Check integrity of knee extensor mechanism by having patient perform straight-leg raise

	===Imaging===		===Imaging===

2016-06-28T03:25:44Z

Text replacement - "== Source ==" to "==References== <references/>"