Unable to process the form. Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. 16. The plate was bent to fit the bone surface and fixed with cortical and locking screws. Joseph P Rectenwald, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Medical Association, Medical Association of GeorgiaDisclosure: Nothing to disclose. J Orthop Trauma. Careful consideration and attention to the principles of fracture management, and the role of the condyle as an articulating . Postoperative radiographs confirmed anatomical reduction, and the patient achieved a good result. In more advanced cases, subchondroplasty (where a bone substitute is injected) may be considered. 1989. Prognosis varies from complete recovery to total joint collapse 2. Radiographs and computed tomography demonstrated a femoral medial condyle fracture in the right knee (AO classification: 33-B2). 2003;13 (8): 1843-8. The anatomical plate for distal medial condyle fracture of femur should be developed as soon as possible. Chap 17. The site is secure. For fractures treated with ORIF, the arm should be put in a cast in 90 of flexion for 3 weeks and then placed in a posterior mold for 3 weeks with supervised active flexion and extension out of the mold. [QxMD MEDLINE Link]. Primary osteonecrosis of the femoral condyle shares several features with insufficiency fractures, including predominance in elderly women with factors responsible for mechanical stress (varum, obesity, trivial trauma), mechanical pain, and increased radionuclide uptake. In this lateral view, fragment is marked with circle. Femoral Condyle Fractures are a painful condition which can result from trauma injuries to the thigh bone and/or knee. For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach. Subchondral insufficiency fracture of the knee. You are being redirected to The .gov means its official. Leet AI, Young C, Hoffer MM. Postoperative radiographs confirmed anatomical reduction, and the patient achieved a good result. [QxMD MEDLINE Link]. First, if there are rather large amounts of arthritis with cartilage thinning, a program of physical therapy to work on strengthening of the muscles so one has better absorption and puts less stress across the knee, can be indicated. Iowa Orthop J. Treatment for most patients is with a rehabilitative course consisting of range-of-motion and stretching exercises of the knee joint and medial collateral ligament. Zhou W, Yu J, Wang S, Zhang L, Li L. Use of MRI assisting the diagnosis of pediatric medial condyle fractures of the distal humerus. [QxMD MEDLINE Link]. Federal government websites often end in .gov or .mil. Traumatol. [QxMD MEDLINE Link]. Distal femur fractures are traumatic injuries involving the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles. Plain radiography and computed tomography showed oblique fracture of the femoral medial condyle. Medial epicondyle fractures also may be treated in a closed fashion if the medial epicondyle is nondisplaced, minimally displaced, or even displaced up to 15 mm (see the image below). [20, 21, 40]. At the time the article was last revised Yuranga Weerakkody had Some have suggested conservative treatment for fractures older than 4 weeks, whereas others have demonstrated some restored function in treating these fractures at the time of delayed diagnosis, though the results are imperfect. 2008 Jan;66(1):77-84. doi: 10.1016/j.joms.2007.08.013. Pappas N, Lawrence JT, Donegan D, Ganley T, Flynn JM. Pronation and supination are usually not affected. Oral Maxillofac Surg Clin North Am. Arthrographic diagnosis of elbow injuries in children. Jpn J Radiol. Heterotopic ossification can result in severe loss of flexion and extension. Skaggs DL. [QxMD MEDLINE Link]. Fahey JJ, O'Brien ET. 9. Federal government websites often end in .gov or .mil. Pellegrini-Stieda lesions are ossified post-traumatic lesions at (or near) the medial femoral collateral ligament adjacent to the margin of the medial femoral condyle. Management of condylar fractures remains a source of ongoing controversy. Partial or complete recovery may take months. 18. Nonunion Bookshelf [QxMD MEDLINE Link]. In this procedure, the bone and cartilage units are replaced by somebody who has recently died (an allograft), and replacing the whole bone and cartilage unit. This may be as early as 3 weeks for nondisplaced fractures and is usually about 6 weeks (occasionally as long as several months) for displaced fractures. Rest and standard analgesics consistently ensured a favorable outcome within three to four weeks. Ramnath RR, Kattapuram SV. Functionally, no limitation from this radiographic finding appears to exist. Disclaimer. Recognizing that spontaneous osteonecrosis of the knee was a misnomer and actually represents a subchondral insufficiency fracture that progressed to subchondral collapse with secondary osteonecrosis,the Society of Skeletal Radiology Subchondral Bone Nomenclature Committee recommended that "subchondral insufficiency fracture" be the preferred term 17. Institutional review board approval was not required because all data were collected from clinical records and imaging systems for routine preoperative planning and follow-up. By definition,secondary osteonecrosis of the knee occurs secondary to an insult. The longer the inactivity and immobility the longer the recovery and rehabilitation is likely to take. Femoral condyle fractures due to . As with any articular injury, anatomical restoration of the joint surface must be obtained, then lag screw fixation is required. [QxMD MEDLINE Link]. Elbow dislocation associated with medial epicondyle fracture. Bel J.C., Court C., Cogan A., Chantelot C., Pietu G., Vandenbussche E., SoFCOT Unicondylar fractures of the distal femur. History Mystery: Did Subdural Hematoma Kill Thomas Aquinas? Bookshelf 1996 Jul-Sep;63(7-8):475-9. Physical therapy is also highly beneficial in rehabilitating the structures around the knee after a fracture to increase range of movement and strength. Without adequate nourishment, the affected portion of bone dies and gradually collapses. Two days after the injury, we performed an open reduction and internal fixation using locking compression plate for proximal tibia and lag screws. A 80-year-old woman fell down 15 steps at her home and reported to our hospital with severe right knee pain. Reference article, Radiopaedia.org (Accessed on 01 May 2023) https://doi.org/10.53347/rID-2079, View Frank Gaillard's current disclosures, View Yuranga Weerakkody's current disclosures, see full revision history and disclosures, Spontaneous osteonecrosis of the knee (SONK), Spontaneous osteonecrosis of the knee (SPONK), Spontaneous insufficiency fracture of the knee (SIFK), Subchondral insufficiency fracture of the knee (SIFK). Some minor loss of motion (flexion and extension) is a common sequela of many displaced medial condyle fractures. lt=""-/W3C/DTD XHTML 1.0 Strict/EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-s" title=""-/W3C/DTD XHTML 1.0 Strict/EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-s">. Injury. MRI-detected subchondral bone marrow signal alterations of the knee joint: terminology, imaging appearance, relevance and radiological differential diagnosis. Traumatol. Epub 2011 May 4. Distal femur fractures are traumatic injuries involving the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles. Case report, Femoral medial condyle fracture, Proximal tibial plate, Surgery, Knee. government site. Although subchondral impaction fractures have already been reported in the non-weight-bearing portion of the lateral femoral condyle, this study reveals the presence of an intra-articular impaction fracture of the postero-superior region of the non-weight-bearing portion of the medial femoral condyle recognized in 5 of a group of . If the epicondyle is fragmented, excision of the fragment and fixation of the flexor-pronator origin and medial collateral ligament (MCL) to bone with an alternative form of fixation (eg, suture anchors) may be used. This site needs JavaScript to work properly. Surgical techniques and a review of the literature. and transmitted securely. However, no currently available anatomical plates fit the femoral medial condyle. Epub 2012 Aug 2. 1984. As with any fracture reduction, periosteum and bone fragments are cleared from the fracture site to allow anatomic reduction. sharing sensitive information, make sure youre on a federal Dellon AL, Ducic I, Dejesus RA. [QxMD MEDLINE Link]. Orthop. Report of two cases. Apply a sterile. Anteroposterior view after fixation. Fracture of femoral condyle can occur, although it is a rare injury. Two days after injury, we performed open reduction and internal fixation using locking compression plate for proximal tibia and screws. [QxMD MEDLINE Link]. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. -. Would you like email updates of new search results? These surgeries certainly may be indicated in some areas, but the gold standard is still the fresh osteoarticular allograft if possible. V. Distal humerus. Suggestive changes were seen on initial roentgenograms in only one case, whereas increased radionuclide uptake was a consistent finding on the bone scan. Femoral Condyle Fractures are a painful condition which can result from trauma injuries to the thigh bone and/or knee. 2002 Jan-Feb. 22 (1):2-7. 2014;100:873877. 81 (2):224-7. Bone insufficiency fractures as an inaugural manifestation of primary hyperparathyroidism. North Am. Ergin N, Demirel M, entrk F, Bayram S, Bilgili F. Long-term comparative study of internal fixation with Kirschner wires or cannulated screws for displaced medial epicondyle fractures of the humerus in children: A 10-year follow-up of 42 cases. Branches of the medial antebrachial cutaneous nerve should be identified and preserved. 2002 Nov;31(11):615-23. doi: 10.1007/s00256-002-0575-z. Two days after injury, we performed open reduction and internal fixation using locking compression plate for proximal tibia and screws. 2). Epub 2016 May 20. Excision of the comminuted medial epicondyle fragment has been associated with less beneficial results. There will be a sudden onset of severe pain, and inability to weight bear on that leg. 2016 Aug;47(8):1761-9. doi: 10.1016/j.injury.2016.05.026. Symptoms are similar to those of any fracture. Federal government websites often end in .gov or .mil. 2009 Mar;17(1):71-4. doi: 10.1016/j.cxom.2008.10.003. [QxMD MEDLINE Link]. FOIA Further treatment of these fractures varies dependant on the specifics of the fracture and the other injuries that my have occurred to the surrounding tissues, as well as the individuals health and fitness. Accurate apposition of the fracture surfaces is important to reduce the risk of growth-plate disturbance and to prevent loss of motion due to articular incongruence. 2003 Aug;13(8):1843-8. doi: 10.1007/s00330-002-1775-6. [Full Text]. We used lag screw fixation and plating with proximal tibial plate for the same side as a buttress plate to counteract the vertical shear forces. These joints are covered by articular cartilage. I am so glad I did! 2000;82 (6): 858-66. The missing piece of the trauma armoury-medial femoral condyle plate. Following this period of healing, knee range of movement will need to be recovered as it will have reduced due to immobility of the joint. Unable to load your collection due to an error, Unable to load your delegates due to an error. It was first systematically described by Ahlbck in 1968 2. Tarallo L, Mugnai R, Fiacchi F, Adani R, Zambianchi F, Catani F. Pediatric medial epicondyle fractures with intra-articular elbow incarceration. With vertical fracture lines, screw fixation alone may be insufficient, and a buttress plate should be added. There are two condyles on each leg known as the medial and lateral femoral condyles. 2023 Lineage Medical, Inc. All rights reserved, Distal Femur Fracture ORIF with Single Lateral Plate, Femoral Shaft Fracture Retrograde Intramedullary Nailing. Orthop. MR appearance of SONK-like subchondral abnormalities in the adult knee: SONK redefined. If you have fractured your femoral condyles, it is important to seek out immediate medical treatment. The patient complained of severe pain in the right knee and could not move her knee. Jegan Krishnan, MBBS, FRACS, PhD is a member of the following medical societies: Australian Medical Association, Australian Orthopaedic Association, Royal Australasian College of SurgeonsDisclosure: Nothing to disclose. He offers. If you log out, you will be required to enter your username and password the next time you visit. For bicondylar fractures, a median parapatellar incision can be used. 31 (3):331-3. Our clinics are open: All six patients were women and four were older than 75 years. Elbow dislocation associated with medial epicondyle fracture. Myositis ossificans can result from overaggressive physical therapy with passive ROM. Kirschner wires (K-wires) or cancellous screws may be used. 1980 Oct. 62 (7):1159-63. Unable to load your collection due to an error, Unable to load your delegates due to an error. Because some cases of primary osteonecrosis may be secondary to undiagnosed stress-related microfractures, early diagnosis and elimination of weight bearing are essential. J Bone Joint Surg Am. Fractures can also be mild (e.g., hairline fracture) or severe (broken into 2 or more fragments, pierced through skin, etc). We used anchor absorbable suture bridge to fix osteochondral mass, and obtained good functional and imaging results at the final follow-up. Epub 2002 Dec 19. A lag screw is then placed to maintain and compress the fracture fragment. Penny P, Swords M, Heisler J, Cien A, Sands A, Cole P. Injury. National Library of Medicine Abstract. The force of this event may even fracture other bones within the knee or legs. Vascularized medial femoral condyle corticoperiosteal flaps for the treatment of recalcitrant humeral nonunions. These fractures are called high-energy injuries due to the high forces needed to cause a break in this strong bone. The patient shared her perspective on the treatment when her wound was healed completely. To the best of our knowledge, no case reports exist of this fracture treated with a proximal tibial plate. We report a case of patellar dislocation with OCF in the weight-bearing area of LFC. [QxMD MEDLINE Link]. Zieliski R, Kozakiewicz M, Konieczny B, Krasowski M, Okulski J. Treatment and Rehabilitation of Fractures. McDonald T.C., Lambert J.J., Hulick R.M., Graves M.L., Russell G.V., Spitler C.A. Resistance of four fixation techniques used to treat subcondylar fractures. 2020 Jan. 26 (1):137-143. Two days after injury, we performed open reduction and internal fixation using locking compression plate for proximal tibia and screws. 2022 May;56(3):228-231. doi: 10.5152/j.aott.2022.21325. Go to: Consultations Oral Maxillofac Surg. Cartil. I was hit by a car on my bicycle near Horsetooth Reservoir in CO. 8th ed. Bensahel H, Csukonyi Z, Badelon O, Badaoui S. Fractures of the medial condyle of the humerus in children. Bethesda, MD 20894, Web Policies Karlsson MK, Herbertsson P, Nordqvist A, Besjakov J, Josefsson PO, Hasserius R. Comminuted fractures of the radial head. Dr. Robert F. LaPrade operated on my right knee in May of 2010. To date, however, no consensus exists regarding the optimal implant due to few cases [2]. J Pediatr Orthop. The femur is a long bone that widens at its distal end, these flared parts are called the medial and lateral condyles. The blood supply to the epiphysis is through the soft-tissue attachments at the medial epicondyle. Most avulsion fractures heal very well without surgical intervention. The sagital plane is a vertical plane that runs from front to back and decides the body from side to side. Ann R Coll Surg Engl. J Pediatr Orthop. J Bone Joint Surg Am. [QxMD MEDLINE Link]. Spontaneous osteonecrosis of the knee: value of MR imaging in determining prognosis. Kilfoyle RM. Some have advocated operative treatment of high-demand athletes, on the grounds that even minor amounts of valgus instability can result in significant disability. Active ROM with physical therapist supervision is critical to prevent excess loss of flexion and extension. 2009;114 (3): 437-47. Roemer FW, Frobell R, Hunter DJ et-al. Subchondral hypointense fracture lines tend to resolve with conservative therapy. (2019) AJR. Thank you, Dr. LaPrade, for treating me with the care, focus, and expertise as if I was an Olympic athlete!- From your 63 year old very appreciative patent ~. Lateral condyle fractures in children: evaluation of classification and treatment. Any damage to the cartilage in the body in effect is arthritis. 1972 Nov. 4 (2):171-4. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. A smaller defect with good cartilage shoulders can potentially be treated with a microfracture. A diagnostic pitfall for ankle pain. (including injections and arthroscopic surgery), I heard Dr. La Prade was going to practice in the Twin Cities - where I live, & waited for him, based on his renown reputation. NCI CPTC Antibody Characterization Program, Court-Brown C.M., Caesar B. Whether this is best performed during growth or after the physis has closed has not yet been determined. For bicondylar fractures, a median parapatellar incision can be used. 1965 Jul-Aug. 41:43-50. Larger cartilage defects are best treated by more advanced surgeries, which often involve replacing all of the cartilage surface or the bony cartilage surface. 11 (2):117-20. b-d Histology of subchondral insufficiency fracture (hematoxylin-eosin stain).b The lower surface indicates denuded subarticular bone of the distal femoral condyle, which is caused by secondary osteoarthritic change. These lesions may be underdiagnosed since they are easily mistaken for primary osteonecrosis in the absence of magnetic resonance imaging. J Bone Joint Surg Am. Results of a three-dimensional computed tomography analysis. The following criteria apply to lesions without overlying cartilage abnormalities: in the weight-bearing area of the involved condyle, subtle flattening or a focal depressive deformity, an irregular, discontinuous hypointense line in the subarticular marrow, representing callus and granulation tissue, there may be a fluid-filled cleft within the subchondral bone plate (poor prognostic factor) 13, excavated defect of the articular surface (advanced cases), focal subchondral area of low signal intensity subjacent to the subchondral bone plate representing local ischemia (considered most important in early lesions and a specific MRI finding12), this area shows no enhancement on post-contrast; if it is thicker than 4 mm or longer than 14 mm, the lesion may be irreversible and may evolve into irreparable epiphyseal collapse and articular destruction, appears as a thickened subchondral bone plate, which represents a fracture with callus and granulation tissue and secondary osteonecrosis in the subarticular region 13, ill-defined bone marrow edemaand a lack of peripheral low signal intensity rim as seen in osteonecrosisand bone infarcts. Nomenclature of Subchondral Nonneoplastic Bone Lesions. for: Medscape. Oh CW, Park BC, Ihn JC, Kyung HS. subchondral stress/fatigue fracture: overuse injuries in patients without associated risk factors 17. J Am Acad Orthop Surg. Zhonghua Kou Qiang Yi Xue Za Zhi. Types 1 and 3 have a better prognosis due to the location of attachment of soft tissues and blood supply (Zhou et al, 2019). I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. [QxMD MEDLINE Link]. This site needs JavaScript to work properly. This includes having an opposing cartilage surface be normal (the medial or lateral tibial plateau), having the shock absorber on that same side be intact or nearly intact (the medial or lateral meniscus), having the weight bearing of the joint not pass into that compartment (not being bowlegged (varus) or knocked knee (valgus)), and ensuring that the ligaments of the knee are intact. Introduction: official website and that any information you provide is encrypted Medial epicondyle fractures of the humerus: how to evaluate and when to operate. Please enable it to take advantage of the complete set of features! Department of Orthopaedic Surgery, Yaizu City Hospital, Shizuoka, Japan. I am 5-months post surgery, and am doing great, stationary biking and exercising every day, no pain.You know you are seeing the best when you find out he has written over 500 medical journal articles - among many other accomplishments. Sayyid S, Younan Y, Sharma G, Singer A, Morrison W, Zoga A, Gonzalez FM. There are a variety of special considerations that are peculiar to the condylar region. Subchondral insufficiency fracture of the knee is not thought to be caused by bone death but instead by osteoporosis and insufficiency fractures, with histopathologically proven origins in weakened trabeculae and applied microtraumatic forces 6,13. Acute nontraumatic adult knee pain: the role of MR imaging. Subchondral insufficiency fracture of the knee (SIF/SIFK) are stress fracturesin the femoral condyles or tibial plateau that occur in the absence of acute trauma, typically affecting older adults. Philadelphia: Lippincott Williams & Wilkins; 2000. Glotzbecker M. Distal humeral physeal, medial condyle, lateral epicondylar, and other uncommon elbow fractures. 10. [Full Text]. 8600 Rockville Pike Her vital signs were normal. As a library, NLM provides access to scientific literature. Narvez JA, Narvez J, De Lama E, Snchez A. Eur Radiol. Nevertheless, there are no available anatomical plates that fit either the femoral medial condyle or fracture fixation, except for the relatively short plate developed for distal femoral osteotomy. Curr Opin Pediatr. [2, 3, 4, 6, 7, 8, 9, 10, 12, 31, 42], A longitudinal incision is made just anterior to the medial epicondyle. Citation, DOI, disclosures and article data. Osteoarthr. The medial femoral condyle is located on the inside part of the knee whereas the lateral femoral condyle, which is bigger, is located on the outside part of the knee. Bjrkengren AG, Alrowaih A, Lindstrand A et-al. Atlas Oral Maxillofac Surg Clin North Am. Edmonds EW. We have immediate appointments available today. The patient was referred to an or-thopaedic surgeon, who recommended conservative management. This also can result from premature closure of the physis. It is important to recognize that with a chondroplasty one does not cure a cartilage problem and is mainly dealing with a mechanical irritation due to the rough cartilage edges. Fernandez FF, Vatlach S, Wirth T, Eberhardt O. Medial humeral condyle fracture in childhood: a rare but often overlooked injury. FOIA The fragment is usually displaced distally and anteriorly. Radiographs and computed tomography demonstrated a femoral medial condyle fracture in the right knee (AO classification: 33-B2). 2014 Jul 26. Clinically Oriented Anatomy. Haxhija EQ, Mayr JM, Grechenig W, Hllwarth ME. Fracture of the medical condyle of the humerus with rotational displacement. Passive ROM should be avoided because it can result in damage to contracted soft tissues and has been associated with myositis ossificans. In this procedure, small holes are made in the bone to try to induce some localized bone marrow elements, which may include stem cells, to form a fibrocartilage healing response. Spontaneous osteonecrosis of the knee associated with tibial plateau and femoral condyle insufficiency stress fracture. Medial epicondyle fractures in children. The second involves ulnar nerve dysfunction, which may occur in 10-16% of cases. Acta Orthop Scand. Other potential cartilage replacement procedures include growing ones cartilage and re-implantation, called a autogenous cartilage implantation procedure, and using other types of allograft or autograft cartilage pieces for implantation. Share cases and questions with Physicians on Medscape consult. 20 (2):173-6. A longitudinal incision is made over the medial supracondyle ridge of the humerus and continued just distal to the medial condyle. Acta Orthop. I was told by one of the orthopedic surgeons that I worked with that I would never run again and would be lucky if I could ever hike again. To our knowledge there have been no previous reports of stress fractures of the medial femoral condyle. [37, 38] and open fracture are indications for operative management. 3 (4):352-4. Surgical techniques and a review of the literature. 1996 Dec;63(11):859-61. Before The current gold standard is a fresh osteoarticular allograft. Philadelphia: Wolters Kluwer; 2018. Most commonly, this is ensuring that the ACL is intact. Rockwood and Wilkins' Fractures in Children. Patient underwent TTR at 5 months postoperatively. Ip D, Tsang WL. [QxMD MEDLINE Link]. 12. Treatment of an avulsion fracture typically includes resting and icing the affected area, followed by controlled exercises that help restore range of motion, improve muscle strength and promote bone healing. I can run, bike, & climb mountains. North Am. Hoffa fractures can be of one condyle or can be bicondylar, and are categorised as type 1,2 and 3 depending on the angle of the fracture line, and with letter a,b and c, denoting the region of the femoral condyle that the fracture is in. The degree of loss is usually minimal and does not decrease function. The coronal plane a vertical plane that runs from side to side and divides the body from front to back. Several closed means of reduction can be used, and the success rate with these methods approaches 40%. 2018;60:132136. International Journal of Surgery Case Reports. This mean that a Hoffa fracture will be seen on X-ray or MRI from a side view. This type of surgery is considered the gold standard because the cartilage has an excellent chance of healing and if one follows a proper rehabilitation program with low impact activities only for the first year after implantation, there are excellent outcomes described in the literature for this procedure. The major controversy involving medial epicondyle fractures has involved the management of displaced fractures. [QxMD MEDLINE Link]. Subchondral insufficiency fracture of the knee: grading, risk factors, and outcome. Gentle active range-of-motion (ROM) exercises may begin within 1 week after injury. Femoral Condyle Cartilage Defect Treatment: Treatment of cartilage defects of the femoral condyles requires a thorough workup and ensuring that the defects are truly symptomatic. Ability of modern distal tibia plates to stabilize comminuted pilon fracture fragments: Is dual plate fixation necessary? 3. Fracture-separation of the medial humeral condyle in a child confused with fracture of the medial epicondyle. He offers Online Physiotherapy Appointments. Clipboard, Search History, and several other advanced features are temporarily unavailable. [Posttraumatic temporomandibular joint ankylosis: clinical development and surgical management]. However, there are no available anatomical plates that fit either the femoral medial condyle or fracture fixation, except for the relatively short plate developed for distal femoral osteotomy. Fotiadou A, Karantanas A. 2003. 2020 Jan 27;13(3):592. doi: 10.3390/ma13030592. Diagnostic imaging will be necessary and acute treatment of rest, ice, medication and in some cases surgery. Br J Oral Maxillofac Surg. Past reports have shown the possibility of screw fixation plating for the fracture [2,[6], [7], [8], [9], [10]]. 2010 Feb. 92 (2):322-7. J Bone Joint Surg Am. 1986 Jul-Aug. 6 (4):430-3. Landin LA, Danielsson LG. The patient had an uneventful postoperative recovery. Ergin et al, in a long-term (median, 10 years; range, 5-15) comparative study of 42 children with displaced medial epicondyle fractures of the humerus,assessed internal fixation with K-wires (group A; n = 22) vs cannulated screws (group B; n = 20). The https:// ensures that you are connecting to the 28 (2):2309499020921755. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. J Orthop Traumatol. National Library of Medicine [Full Text]. [QxMD MEDLINE Link]. AJR Am J Roentgenol. Knee Pain Location Chart Muscles of the Knee Hoffa Fat Pad, This is not medical advice. Application of mesh plate for the treatment of an osteochondral fracture of the medial femoral condyle with medial wall fracture: A case report.
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