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Author Topic: Advice on patellar fracture  (Read 394 times)

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Offline g1uhrh8677

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Advice on patellar fracture
« on: February 02, 2022, 09:22:46 PM »
Hello all,

I'm new to thins forum.  Four days ago i fractured my right patella during my morning run.  The x-ray diagnoses was "linear lateral patellar fracture".   Stating “the fracture is without significant displacement.  There is a suprapatellar joint effusion.  There are no other fractures or dislocations”.

I visited the OS yesterday and he said no surgery is required since the fracture line is somewhat vertical.   He gave me a brace to wear for 6 months and then to start PT.   The x-ray did not indicate the length or depth of the fracture.  Nor did it mention how far the bones were from each other.   The OS mentioned that as Patellar fractures go, this is the kind you want to end up with.  However, he did also say the fracture “may” extend down to the cartilage and there may have been some damage to it.

My questions are:
1)   Should I seek an MRI to get a better picture of the extent of damage?
2)   Would it change anything? What needs to be observed to warrant surgical intervention for a seemingly stable patellar fracture?
3)   Given my “stable” fracture, would I ever be able to do squats, deadlifts? How about run or cycle?  I’m 58 years old and otherwise healthy.

Thanks
Adam

Offline vickster

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Re: Advice on patellar fracture
« Reply #1 on: February 02, 2022, 09:27:02 PM »
A brace for 6 months and no physio until then seems a very long time? Do you perhaps mean 6 weeks which would be more normal for a straightforward break.
I would think a CT scan might show more detail of the bone (although X-ray gold standard for fractures), MRIs are more for soft tissue issues than bones.

Best to address questions to your specialist. For rehab questions, the specialist and then most importantly physio who will likely have a specific protocol to follow dependent on your injury. You shouldn’t do anything until cleared by the experts
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline g1uhrh8677

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Re: Advice on patellar fracture
« Reply #2 on: February 02, 2022, 09:55:33 PM »
Sorry I meant to type weeks rather than months.  I will ask to my OS about the need for CT scan.  I just want to make sure I'm making correct decisions here.  Never knew breaking your patellar was potentially such a life altering thing.

Offline vickster

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Re: Advice on patellar fracture
« Reply #3 on: February 02, 2022, 10:27:30 PM »
It’s quite a serious injury potentially like any bone breaks around the knee
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone