The dominant vascular pedicle to the medial femoral condyle flap is the descending branch of the geniculate artery, but in up to 23% of patients, the superomedial genicular artery emerging from the popliteal fossa may be dominant. The femur (thigh bone), with the knee end of the femur forming two cartilage-covered compartments known as the femoral condyles; Patella (kneecap) Tibia (shin bone) Figure 1: Anatomy of the Knee. An undisplaced fracture, particularly in the non-dominant arm of a non-athlete can be treated conservatively (three weeks in an upper arm splint) with good results 2,3. Based on an MRI at the Mass Geberal Hospital it is a small subchondral fracture involving the medial rim of the medial femoral condyle with extensive associated marrow edema. In neglected Hoffa fractures despite nonunion, there is a risk of missing accompanying ligamentous and intra-articular injuries. Medial tibial plateau subchondral . Management of medial femoral condyle osteochondral lesions (OCL; aka subchondral bone cysts) should encompass medical, surgical, and rehabilitation therapies. () reported that, compared with no treatment, cancellous bone grafts did not reduce lameness when medial femoral subchondral bone defects were created experimentallyIn a nonblinded study, Plevin and McLellan compared ultrasound guided intralesional corticosteroid injection (UGI) with intra-articular corticosteroid injection . J Bone Joint Surg Am. Figure 1 Typical aspect of a subchondral insufficiency fracture of the medial femoral condyle. POSTOPERATIVE DIAGNOSIS: Medial meniscus tear of the posterior horn, right knee. Treatment of a Femoral Condyle Fracture When a patient comes in with concern for a femoral condyle fracture, it is crucial to image the fracture first. Stress fractures of the femur can occur in the whole bone like the neck, shaft and the condyles.Femoral stress fractures mainly develop on the medial compression side of the femoral shaft, within the proximal and middle thirds of the bone. Radiographs and computed tomography demonstrated a femoral medial condyle fracture in the right knee (AO classification: 33-B2). Five patients had valgus alignment (mean, 15.2) preoperatively and sustained fracture of the unloaded medial femoral condyle. The patient had an uneventful postoperative recovery. The patient was a 56-year-old woman who underwent minimally invasive UKA for medial osteoarthritis of the knee. For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach. Preexisting arthroplasty; Temporary long leg splint A Case Report: Medial Condyle Fracture in a Child. To learn more about how a lawyer can help, call us at (916) 921-6400 or (800) 404-5400 for free, friendly advice. Osteonecrosis of the medial femoral condyle can be treated in a variety of ways depending on the stage of the disease. Osteochondral fractures of lateral femoral condyle are common in adolescents and young adults. 33B2.1/.2 Partial articular fracture, medial condyle, sagittal simple. Traumatic bone bruise . The most common location for SIFK lesions was the medial femoral condyle, which was seen in 70% of patients (35 out of 50), followed by the lateral femoral condyle (12%; 6 out of 50), the lateral tibial plateau (12%; 6 out of 50), and lastly the medial tibial plateau (6%; 3 out of 50; Table 2). In the current study, the proportion of patellar OCFs was slightly lower and that of lateral femoral condyle OCFs was . Ippolito E. Long-term results of treatment of fractures of the medial humeral epicondyle in children. Regular manual treatment should be conducted to the patella and all incisions; no direct scar mobilization at surgical portals X 4 weeks or per MD. Cartilage, or chondral, damage is known as a lesion and can range from a soft spot on the cartilage (Grade I lesion) or a small tear in the top layer to an extensive tear that extends all the way to the bone (Grade IV or "full-thickness" lesion). Introduction. 1. Nonunion of medial femoral condylar coronal fractures are uncommon. the lateral femoral condyle, the medial facet of the patella, or both (Fig. The patient's treatment plan included 6 weeks of weight bearing as tolerated for the left lower extremity while wearing a knee brace that prevented the final 20 of knee extension, and a program of range-of-motion and progressive resistive exercises, with eventual emphasis on sport-specific activities. 2 In contrast to nonoperative treatment, open reduction-internal fixation of these fractures yields good long-term results. Medial Femoral Condyle assessment of the anterior cruciate liga- ment with the anterior drawer and Lach- man tests was negative for laxity. Multiple x-rays could be taken from different angles as medical professionals try to determine the best course of action. We report the case of an elderly osteoporotic patient with a medial condyle fracture . The patient was referred to an or- thopaedic surgeon, who recommended conservative management. Pain resolution, significant improved function, and range of motion were the end results of our instituted treatment plan. INTRODUCTION Femoral medial condyle fracture is a rare fracture. An unicondylar fracture of the femur is uncommon and of the medial condyle more so. After fracture exposure, headless compression screws can be inserted perpendicularly to the fracture line from posterior to anterior. Osteonecrosis of the Knee. There was resolution of the insufficiency fracture at the medial femoral condyle between the magnetic resonance imaging exams within 4.5 months apart treated with restricted weight-bearing regimen. Two days after injury, we performed open reduction and internal fixation using locking compression plate for proximal tibia and screws. The most common causes of fractures were due to slip and fall injuries from monkey bars, trampolines, and sports. Osteochondral fracture of the lateral femoral condyle is a rare injury of the knee joint, which mostly occurs in adolescence 1.In adolescence, the cartilage-bone interface is the weakest transitional area in the knee joint, and there is no obvious boundary between calcified and uncalcified cartilage 2.The biomechanical strength of immature osteochondral junction was lower than . Osteonecrosis of the knee (also known as avascular necrosis) is a painful condition that occurs when the blood supply to a section of bone in the femur (thighbone) or tibia (shinbone) is disrupted. This fracture involves the proximal (upper) portion of the tibia which extends through the articular surface (into the knee joint). Introduction. This is almost always present in the posterolateral aspect of the medial femoral condyle in skeletally immature patients. This preview shows page 27 - 29 out of 68 pages. most often used for type B2 and B3 patterns. 1 Two patients had varus alignment (mean, 7.0) preoperatively and both fractured the unloaded lateral condyle. The medial femoral condyles are the bony protrusions on the inside edge of the bottom of the femur bone in each thigh. If you suffered a medical condyle femur fracture in a catastrophic accident caused by negligence, you need an experienced personal injury attorney to represent your best interests. The femoral condyles are rarely involved and their location complicates the differential diagnosis with intraarticular and soft tissue pathologies. can be used to augment fixation with medial plate in type C3 . [] This fracture type was 1st described by Busch in 1869. 2001 Sep. 83 (9):1299-305. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. Medial epicondyle. Palpable as a hard, rounded bump to the inside of either knee joint, they are one of two condyles at the bottom of each leg bone, the other being the lateral femoral condyle. Here, we report a case of femoral medial condyle fracture treated with lag screws and proximal tibial plate as a buttress plate. A 4 mm drill hole is made at the junction of medial femoral condyle and the trochlea, 1 cm anterior to the edge of intercondylar notch in line with the lateral wall of the medial femoral condyle. Some can recall exactly when symptoms began, but trauma is usually not the cause. We are members of the Million Dollar Advocates . Diagnosis can be radiographic for advanced disease but may require MRI in determining the extent of disease. It occurs sometimes after a medial hamstring tendon ACL reconstruction with extra-articular tenodesis. [12] The highest incidence is seen at the femoral neck. Fracture occurred on average 24.9 days from the index surgery and secondary to a low energy mechanism. They are usually caused by direct trauma or twisting injuries of the knee. Insufficiency fractures of the medial femoral condyle Abstract We report six cases of insufficiency fractures of the medial femoral condyle responsible for severe mechanical pain in the medial knee compartment in the absence of any identifiable precipitating factor. . Light to no resistance stationary cycling is okay at 2 weeks post-op. The study will compare the two common treatments for medial epicondyle fractures: 1) Conservative management with plaster for up to four weeks and 2) Open fixation followed by resting the arm in a splint or cast for up to 4 weeks. 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. A bone contusion (bone bruise) is a relatively common injury to a bone that is less severe than a bone fracture, resulting in injury to the bone on a microscopic level, without a discreet or visible fracture line on xray or advanced imaging such as MRI or CT scan. This arthroscopic procedure was first introduced about 20 years ago as a treatment method that uses the body's own healing abilities and provides an enriched environment for . Osteonecrosis of the knee is most commonly seen in the femoral condyle, usually on the inner side of the knee (the medial femoral condyle). Epidemiology Incidence Common 3-6% of femur fractures <1% of all fractures Demographics bimodal distribution young healthy males elderly osteopenic females Pathophysiology Medial meniscus tear of the right knee. Bone bruises typically form within the bone's spongy interior. I also have a medial meniscus tear in that knee from April 2012. . A thin intramedullary rod is inserted. Medial Useful for isolated medial condyle fractures or severely comminuted fractures in which medial fixation is required Straight medial incision extending distally to a point just anterior to adductor tubercle Fascia divided in line with skin incision, anterior to sartorius Vastusmedialis elevated, care taken to avoid of the medial meniscus (asterisk) is consistent with associated meniscal injury. Sports injuries, car accidents and falls as common cases of this condition. Stress fractures of the femur can occur in the whole bone like the neck, shaft and the condyles.Femoral stress fractures mainly develop on the medial compression side of the femoral shaft, within the proximal and middle thirds of the bone. Here, we report a case of femoral medial condyle fracture treated with lag screws and proximal tibial plate as a buttress. . It is a serious type of knee injury that can affect all types of men and women athletes. medial. Introduction. Treatment is generally operative with ORIF, intramedullary nail, or distal femur replacement depending on available bone stock, age of patient, and patient activity demands. A recent case report was published by a group of medical professionals discussing a bone fracture of the medial condyle in a . This poster presents a unique case of a medial. Unicondylar fractures of the distal femur are rare injuries accounting for less than 1% of all femoral fractures 1, 2 and are partial articular fractures. . Treatment is generally operative with ORIF, intramedullary nail, or distal femur replacement depending on available bone stock, age of patient, and patient activity demands. . <5 mm displacement. treatment of all fractures to operative treatment of certain fractures. After operation, the fracture of femoral condyle healed well and the function of knee joint recovered gradually. The medial femoral condyle and other epiphyses are not usual sites for a stress fracture (Daffner 1978), unlike osteonecrosis or posttraumatic intraosseous fractures. Lesions of the medial femoral condyle represent up to 94 percent of cases [8]. Garcia and Neer 107 reported 42 fractures of the tibial spine in patients ranging in age from 7 to 60 . We experienced a case of medial femoral condylar fracture among 700 cases of unicompartmental knee arthroplasty (UKA). Femoral condyles are the pair of round bony protrusions emanating from either side of the bottom of the femur bone.