Y5 - Knee: Fracture (patella, tibeal plateau)

Question 1

definition of patella fracture

Answer 1

broken kneecap

Question 2

aetiology of patella fracture

Answer 2

trauma to front of knee

fall

Question 3

epi

Answer 3

men>women

middle age

Question 4

symptoms

Answer 4

pain, swelling, bruising

inability to walk

Question 5

investigations

Answer 5

xray

Question 6

management for an undisplaced fracture

Answer 6

casting (immobilized into a straight position, followed by increasing degrees of flexion)

Question 7

management for a comminuted patella fracture

Answer 7

patellectomy

Question 8

complications

Answer 8

injury to surrounding structures

Question 9

definition of tibial plateau fractures

Answer 9

periarticular injuries of the proximal tibia

Question 10

what are tibial plateau fractures commonly associated with

Answer 10

soft tissue injuries

Question 11

epi for tibial plateau fractures

Answer 11

males in 40s (trauma)

females in 70s (falls)

Question 12

where do tibial plateau fractures commonly occur

Answer 12

lateral> bicondylar > medial

Question 13

aetiology of tibial plateau fracture

Answer 13

varus/valgus load

Question 14

history TPF

Answer 14

high energy trauma in young

low energy falls in elderly

Question 15

signs of TPF

Answer 15

laxity of > 10 degrees suggests instability

Question 16

investigations of TPF

Answer 16

xray

Question 17

complications of TPF

Answer 17

post traumatic arthritis