Page 144 - ASOP Orthopedic Casting Manual
P. 144

3.5.2 Clinical Characteristics





            Clinical Characteristics / Presentation

            Patella Fractures
            ✓   Pain and swelling over the anterior knee

            ✓   Inabilit y to actively ex tend the knee if ex tensor mechanism is disrupted
            ✓   Palpable gap in displaced fractures

            ✓   Hemar throsis (knee effusion)



            Tibial Plateau Fractures
            ✓   Pain and swelling localized to the proximal tibia

            ✓   Inabilit y to bear weight
            ✓   Joint effusion and possible valgus/varus defor mit y

            ✓   Possible ligamentous instabilit y if associated soft tissue injur y



            Quadriceps / Patellar Tendon Ruptures
            ✓   Inabilit y to ex tend the knee actively

            ✓   Patella al ta (high-riding patella) in patellar tendon rupture
            ✓   Palpable defect above or below the patella

            ✓   Significant pain with attempted knee ex tension
   139   140   141   142   143   144   145   146   147   148   149