Patella Fracture: Episode 85

  • In this episode: Patella fractures are thankfully not common. They do however; pose a unique set of challenges when recovering from them.

  • Chip Review @ (13:42): Kettle – New York Cheddar (Thank You Karin)

  • Trivia question of the week @ (12:27): What was stolen in the Shel Silverstein poem “Stop Thief!”?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

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Brief overview of the episode:

 

            The Patella, better known as the kneecap can sustain a fractured. This will typical happen as a result of trauma, usually a fall directly onto the knee, or any blunt trauma directly to the front of the knee. In rare instances a large eccentric (lengthening while contracting) load through the quadriceps can also cause a patella fracture.
            Thankfully a patella fracture makes up only 1% of all bone injuries. This occurs at a 2:1 ratio male to female and generally ages 20-50.
            Fractures are labeled either simple or complex. With patella fractures typically a complex fracture is a horizontal break causing disruption of the extensor mechanism, while simple fracture are vertical or partial fractures.
            Knee pain following blunt trauma that results in inability or sharp decline in walking ability, as well as swelling, range of motion loss, weakness and difficulty or inability to straighten knee are all signs of patella fracture. X-ray is the best way to visual the patella and will show any fracture.
            Treatment will be either surgical for complex fractures or at a minimum bracing for simple. The patella will heal in 6-8 weeks to point where increased physical activity can be performed. Depending on the specifics of the fracture physical therapy will usually be initiated following an immobilization period this can be a short as a few days but will be typically be following 6-8 weeks.
            Long-term problems do arise with osteoarthritis. Anytime a surface containing cartilage is damaged there is much higher potential for longer-term arthritic changes. In the short term return to most activities will occur between 3-6 months and return to sport and higher level activities is usually between 6-12 months.

Other episodes you might enjoy:  

Ice or Heat?: Episode 23

Shin Splint: Episode 17

ACL Recovery: Episode 13

Patella Femoral Pain Syndrome: Episode 32

 

Patella Femoral Pain Syndrome: Episode 32

  • Patella Femoral Pain Syndrome (PFPS). Pain behind or around the knee without any other specific intra-articular pathology.

  • Today’s Chips: Kim’s Magic Pop Brown Rice Chips – Smoked Paprika compliments of Jamie and Pippa

  • Trivia question of the week: What is the most common non-alcoholic drink in the world?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

 

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Live from Chicago, O’Hare airport. It’s been a pretty wild day. It has been a pretty wild day. We took a little bit of a trip. We are not in Denver anymore. Today we are probably going to talk about Patella Femoral Pain (PFPS). Maybe a little, and then we are going to review Kim’s Magic Pops, Brown Rice Chips, Smoked Paprika flavored. They actually survived the trip. Sort of survived.

This has been a good day so far. Got up early and caught a flight to Chicago. After it snowed a foot of snow, in Denver. Yeah or 1-3 inches, but whoever is counting. Yeah something like that. It was pretty impressive. Flight went out no problem, flew pretty quick. Got in to O’Hare. Picked up by friend of the show Dave. Shout out to Dave, thank you. Mr. Stokes we appreciate it very much.

Then we caught the Elmhurst verses Hope College lacrosse game. Which was a dozy. Yeah, it was a tale of three quarters and one quarter. Three quarters of pretty even play, then one quarter where Elmhurst just whooped us. Final score was 14-9. Second quarter was 8-2 in favor of Elmhurst. Captain of the Elmhurst team Quinn Stokes played a solid, solid defensive game. Yeah a great game from Quinn.

So now we are currently sitting at the airport waiting for our flight to Colorado, back to Denver. This is not our usual controlled, studio quality, recording here today. I actually kind of like. Yeah it is kinda nice, more relaxed.

Patella Femoral Pain! Pretty, pretty, pretty common. It is basically pain behind or around the kneecap that has no other definable pathology http://reboundclinic.com/knee-pain-physical-therapy-treatment/ . Tendinitis, bursitis, plica syndromes, Osgood Schlatter’s disease, Sinding Larsen’s disease, which is Osgood-schlatters but of the inferior-patellar pole instead of the tibial tuberosity. Which is a great fun, never seen diagnosis. That gets talked about all the time.

A lot of the patella femoral diagnosis’s are related to patella femoral tracking issues. Which we see a lot of in adolescents and kids. With the youth population you will see a lot of muscle imbalances. Patella femoral issues are more common in females. Almost 2:1.

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