Knee ligament injuries associated with long bone fractures
Background: Tibial and femoral fractures, commonly seen in emergency departments, may be associated with various knee ligament injuries. The aim of this study was to determine the prevalence of such fracture-associated knee ligament problems, with especial attention to rapid diagnosis. Methods: This...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2007-06-01
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| Series: | Tehran University Medical Journal |
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| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/3416.pdf&manuscript_id=3416 |
| _version_ | 1811320098707734528 |
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| author | Kaseb M.H Moharrami M.R Mortazavi S M.J |
| author_facet | Kaseb M.H Moharrami M.R Mortazavi S M.J |
| author_sort | Kaseb M.H |
| collection | DOAJ |
| description | Background: Tibial and femoral fractures, commonly seen in emergency departments, may be associated with various knee ligament injuries. The aim of this study was to determine the prevalence of such fracture-associated knee ligament problems, with especial attention to rapid diagnosis. Methods: This study was carried out in patients with femoral or tibial fractures who were operated on in Imam Khomeini Medical Center from March 2003 to March 2005. All patients underwent surgical repair immediately after acute fracture, followed by a thorough knee examination. Patients with positive clinical findings were further evaluated using the stress view and arthroscopy. Results: We enrolled 470 cases in this study, of which 266 were tibial and 204 were femoral fractures. There were 404 men and 67 women, with an average age of tibial fracture patients was 34.5 and 44.6 years for those with femoral fractures. Of all fractures, 66% were due to car accidents, 16% to industrial accidents and 8% due to falling. The overall prevalence of ligament injuries in tibial fractures was as follows: 6.58% ACL tearing, 2.5% PCL, 21.95% MCL and 14.63% LCL. The overall prevalence of ligament injuries in femoral fractures was as follows: 6% ACL tearing, 3% PCL, 14% MCL and 8% LCL. Conclusion: The prevalence of ligament injuries of the knee was highest in distal femoral and tibial plateau fractures. It is prudent to perform a thorough knee examination once the fracture is stabilized in the operating room for the early detection of ligament injuries and prevention of further complications. |
| first_indexed | 2024-04-13T12:53:28Z |
| format | Article |
| id | doaj.art-ec09a20b0bbd43e584fc1b72f46ef07a |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-04-13T12:53:28Z |
| publishDate | 2007-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-ec09a20b0bbd43e584fc1b72f46ef07a2022-12-22T02:46:08ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222007-06-016515560Knee ligament injuries associated with long bone fracturesKaseb M.HMoharrami M.RMortazavi S M.JBackground: Tibial and femoral fractures, commonly seen in emergency departments, may be associated with various knee ligament injuries. The aim of this study was to determine the prevalence of such fracture-associated knee ligament problems, with especial attention to rapid diagnosis. Methods: This study was carried out in patients with femoral or tibial fractures who were operated on in Imam Khomeini Medical Center from March 2003 to March 2005. All patients underwent surgical repair immediately after acute fracture, followed by a thorough knee examination. Patients with positive clinical findings were further evaluated using the stress view and arthroscopy. Results: We enrolled 470 cases in this study, of which 266 were tibial and 204 were femoral fractures. There were 404 men and 67 women, with an average age of tibial fracture patients was 34.5 and 44.6 years for those with femoral fractures. Of all fractures, 66% were due to car accidents, 16% to industrial accidents and 8% due to falling. The overall prevalence of ligament injuries in tibial fractures was as follows: 6.58% ACL tearing, 2.5% PCL, 21.95% MCL and 14.63% LCL. The overall prevalence of ligament injuries in femoral fractures was as follows: 6% ACL tearing, 3% PCL, 14% MCL and 8% LCL. Conclusion: The prevalence of ligament injuries of the knee was highest in distal femoral and tibial plateau fractures. It is prudent to perform a thorough knee examination once the fracture is stabilized in the operating room for the early detection of ligament injuries and prevention of further complications.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/3416.pdf&manuscript_id=3416Femoral fracturesTibial fracturesAssociated knee ligament injuries |
| spellingShingle | Kaseb M.H Moharrami M.R Mortazavi S M.J Knee ligament injuries associated with long bone fractures Tehran University Medical Journal Femoral fractures Tibial fractures Associated knee ligament injuries |
| title | Knee ligament injuries associated with long bone fractures |
| title_full | Knee ligament injuries associated with long bone fractures |
| title_fullStr | Knee ligament injuries associated with long bone fractures |
| title_full_unstemmed | Knee ligament injuries associated with long bone fractures |
| title_short | Knee ligament injuries associated with long bone fractures |
| title_sort | knee ligament injuries associated with long bone fractures |
| topic | Femoral fractures Tibial fractures Associated knee ligament injuries |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/3416.pdf&manuscript_id=3416 |
| work_keys_str_mv | AT kasebmh kneeligamentinjuriesassociatedwithlongbonefractures AT moharramimr kneeligamentinjuriesassociatedwithlongbonefractures AT mortazavismj kneeligamentinjuriesassociatedwithlongbonefractures |