How long does it take for a subchondral fracture to heal?
Traditionally, conservative therapy is continued for 3 months, but it has been demonstrated that in reversible cases of subchondral fracture, bone marrow edema required an average of 5 months to resolve,7 so a longer period of conservative treatment and observation may be preferable.
What is a subchondral fracture of the knee?
Subchondral insufficiency fractures are non-traumatic fractures that occur immediately below the cartilage of a joint. Although low bone density may be present concurrently, it is not the underlying cause of subchondral insufficiency fractures in the majority of patients.
How are subchondral insufficiency fractures treated?
Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks.
How long does it take an insufficiency fracture to heal?
These fragility pelvic fractures can be painful and are treated with rest, minimizing weight bearing with a walker or crutches, rehabilitation by physiotherapist, and treating the patient with supplemental calcium and vitamin D. These fractures can take 3 to 4 months to heal.
What is subcortical impaction fracture?
Subchondral insufficiency fractures of the knee occur in association with prolonged weight bearing or repetitive impaction forces to the bone. The clinical hallmark is acute onset of severe and worsening knee pain in the absence of trauma.
What does subcortical fracture mean?
A subchondral fracture is a fracture of the trabecular cancellous bone just beneath the subchondral bone plate without disruption of the articular surface 1.
What is trabecular impaction fracture?
Certain bone lesions detected in subcortical bone of the affected joint associated with trauma have been called impaction fractures (2) and bone bruise (4), but the term trabecular lesion is used here.
Can you walk with a hairline fracture in your knee?
In most cases, you should still be able to walk with a fractured kneecap while the knee is immobilized and healing. Your care team will recommend exercises and weight-bearing restrictions appropriate for each stage of recovery.
What is cortical impaction?
Marginal impaction does not typically include the surrounding cortical bone but rather is defined by a segment of articular surface and the accompanying underlying cancellous bone that is displaced and impacted at the edge of the fracture-dislocation.
What is a femoral condyle fracture?
What is a fracture of the femoral condyle? A femoral condyle is the ball-shape located at the end of the femur (thigh bone). There are two condyles on each leg known as the medial and lateral femoral condyles. If there is a fracture (break) in part of the condyle, this is known as a fracture of the femoral condyle.
What is subcortical fracture?
What do you mean by impacted fracture?
An impacted fracture refers to a fracture in which bone fragments have been driven into each other. A compression fracture is similar to an impaction fracture, but the term is applied to describe a fracture in which cancellous bone collapses and compresses upon itself.
What are the symptoms of a fracture in the knee?
Bruises over the knee in case of direct violence.
How do I treat a knee fracture?
– A pair of crutches to help you get around – Medical compresses – Ice packs – Knee supports – A wheelchair
What is the treatment for a fracture of the knee?
Pain around the kneecap or in the knee
What is the recovery time for a broken knee?
– The severity of your injury – Whether your treatment was surgical or nonsurgical – The time needed for rehabilitation