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  • Patella Fractures Andextensor Mechanism Injuries Ch54 Form

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C H A P T E R zzzzzzzzzzzzzzzzzzzzzzzzzzz 54 Patella Fractures and Extensor Mechanism Injuries zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

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Fractures of the patella may result from either direct or indirect mechanisms. The classic indirect mechanism is a fall on the feet in which the quadriceps eccentrically fire to decelerate the body. When the force of the fall overwhelms the resistance to knee flexion, the extensor mechanism fails.

Symptoms and Signs of Knee Extensor Mechanism Injuries The affected area is painful and swollen. Patients with complete tendon tears cannot stand, do a straight leg raise while lying on their back, or extend their knee while seated. Long-term complications (eg, loss of motion, weakness) are common.

Pathophysiology. Traumatic knee extensor injuries usually involve quadriceps contraction against a flexed knee, such as when a patient is attempting to regain balance after a fall, jumping, or missing a step on the stairs. Significant injuries may also occur in patients with comorbidities after a simple fall.

The extensor mechanism of the knee consists of the quadriceps muscle and tendon, the patella, the patellar tendon, and the tibial tubercle. Disruption of any of these can lead to an extensor mechanism rupture and render an otherwise perfectly good total knee replacement (TKR) useless.

Patella fractures are caused by direct trauma or compressive force, or as the indirect result of quadriceps contractions or excessive stress to the extensor mechanism. Indirect injuries are commonly associated with tears of the retinaculum and quadriceps muscles.

The extensor mechanism is responsible for extending the tibiofemoral joint. The term refers to the common linkage of the four converging quadriceps muscles into the quadriceps tendon attaching proximally to the patella bone, continued distally by the patella ligament or tendon to the tibial tuberosity.

ANATOMY. The extensor mechanism is responsible for extending the tibiofemoral joint. The term refers to the common linkage of the four converging quadriceps muscles into the quadriceps tendon attaching proximally to the patella bone, continued distally by the patella ligament or tendon to the tibial tuberosity.

Intraoperative failure of the extensor mechanism is usually related to gaining exposure to a stiff knee or over resection of the patella during patella resurfacing. Postoperative failures could be due to trauma, malrotation, chronic patella maltracking, and poor blood supply.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232