Avulsion Fractures & Bone Bruises Around The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубліковано 16 жов 2024
- Dr. Ebraheim's animated educational video describes avulsion fractures and bone bruises around the knee.
Medial collateral ligament avulsion
•It can be avulsed with a piece of bone from the femur. It is a proximal avulsion fracture.
Pellegrini-Stieda syndrome
•The injury is sometimes indicated by calcification occurring on the medial epicondyle. Chronic calcification seen on x-rays on the medial epicondyle of the femur.
Anterior cruciate ligament avulsion
•Avulsion of a piece of bone from the tibial eminence anteriorly. Avulsion of a piece of bone can be seen on the AP and lateral x-rays. ACL avulsion fracture may be an isolated injury or it may sometimes be associated with other injuries and fractures such as tibial plateau fractures. Tibial spine fractures in children mimic ACL avulsion fracture in adults.
Posterior cruciate ligament avulsion
•Avulsion of a piece of bone posteriorly. This is the most common presentation of avulsion of PCL.
Fibular head avulsion (arcuate sign)
•Fibular head avulsion fracture will indicate that the posterolateral corner is involved. Fibular head avulsion fracture will indicate that the posterolateral corner is involved. The arcuate sign should be recognized as a significant injury. Sometimes the avulsed piece is too small and the injury can be missed. If not diagnosed and dealt with properly then posterolateral instability of the knee can occur. Failure to diagnose it may result in failure of the cruciate ligaments because the posterolateral corner instability was not diagnosed or treated properly.
The arrangement of the insertion of ligaments or tendon into the fibular head from anterior to posterior:
1-Lateral collateral ligament
2-Popliteofibular ligament
3-Biceps femoris tendon.
Lateral capsule segond (indicates torn ACL)
Bone bruises
Lateral subluxation of the patella causing a contusion (bruise) on the medial aspect of the patella and on the lateral femoral condyle.
ACL tears may cause bone bruises laterally on the middle of the femoral condyle and on the posterior aspect of the tibia laterally. How do you know it is lateral? Check for the fibula on MRI. None bruise laterally indicates an ACL tear. Fat within the aspirate if the knee, indicates an occult fracture. Because fat is less dense than blood, it floats on the surface. The blood is heavier so it stays at the bottom. The presence of fat/fluid level is diagnostic of a fracture even if a fracture is not seen on x-ray (occult). Fat/fluid level is seen in some cases of tibial plateau fractures, chondral injuries and patellar fractures (not seen on x-rays). Lipohemarthrosis is seen better with cross-table lateral view of the knee.
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It really helps me understand my injury to see these explanations. I am getting good treatment, but I like to be able to understand what my provider is explaining to me. They go over it so fast, it goes in one ear and out the outer.
Pretty sure is is exactly what Cookie Monster would sound like after medical school=)....thanks doc great video
Hahahaha
OMG I cant stop laughing!! 🤣🤣
Thank you sir
Dr. nabiel
Great information
My son is a hs senior wrestler. Today he got an mri cause his knee was bothering him after it popped in a wresltimg match two weeks ago. He also partialy torn his lcl last year but according to doctors lcl healed up good. Anyways yesterday's mri showed bruised fibula. My son it's been complaining that his knee is sore and it hurts. Today he wrestled a Match and it was hurting after. Doctor told him to rest it for a week or two.
Bro same
How bad is the acl tibial avulsion compared to a acl tear?
very nice
Dr. nabiel
treatment for avulsion??
What about treatment ?
Tnx sir❤❤❤
How do I fix this bone bruise I have from running?
Do they put a splint or cast on an avulsion fracture of the fibula? Cuz I have one and no one will tell me
I am having the same issue. Just made a lengthy post about my issue. Curious if yours is similar
Thank you!
I had tibia avulsion surjery it’s really bad
How are you know?
How r u now bro can u run without pain
I want to upload my x ray to get information from you
Don’t do that
Where are hospitals
How do you have UA-cam but not Google
I had a avulsion fracture ACL. Worst paon even. Better off, chopping leg off. Lol 9 months recovery
Did you had a problem getting your knee straight?
@@CarlosMartinez-ii7tw Not at all. My leg straight, no limp. Back to hiking, biking, running etc after a hole year of recovery. Copper fit knee sleeve for here and there, helps with pain & stiffness.
@@danktank1959 that’s good. Ihad an avulsion fracture acl too, i don’t have any pain anymore. Is just my knee is not straight and when walking normal it does hurt. supposedly it’ll get better with exercises and therapy. But those fractures sure aint no game
@@CarlosMartinez-ii7tw You keep leg straight in split.? So it could heal in place. Had keep mine on 4 months 0° degrees. I could fell the two bones touched each other, it was torture but I had to.
Broken 7 bones this by far the worst 1 yet. 😆 No joke at all
@@danktank1959 , mine is like 9 degrees can’t fully straighten. Do you know how long it takes to fully extended?
Yea broken bones that had to be painful lol thank god I only sprained some ligaments
Jeremy Lin's ruptured patellar tendon.
Who?
Professional basketball player.
@@phillipjacobs9982 Jeremy Lin is a NBA basketball player.
@@ettawing5955 ok like micheal Jordan?
Knee problem replacement karna hye
This is 5th day that happened
Dr: number