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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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The Stieda fracture revisited.

Kathryn J Stevens1, Omar M Albtoush2, Amelie M Lutz3

  • 1Department of Radiology, Stanford University Medical Center, Grant Building S062A, 300 Pasteur Drive, Stanford, CA, 94305, USA. kate.stevens@stanford.edu.

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Stieda fractures, often involving the medial collateral ligament

Keywords:
Avulsion fractureKneeMRIMedial collateral ligamentMedial femoral condyleStieda fractureTrauma

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Radiology

Background:

  • Stieda avulsion fractures involve the medial femoral condyle.
  • These fractures occur at the proximal medial collateral ligament (MCL) attachment.
  • Understanding associated injuries is crucial for management.

Purpose of the Study:

  • To evaluate injury patterns in Stieda avulsion fractures.
  • To assess associated ligamentous and meniscal injuries.
  • To analyze fracture origin and associated trauma.

Main Methods:

  • Retrospective review of 11 patients with Stieda fractures.
  • Analysis of knee radiographs and MRI scans.
  • Radiological assessment of MCL components, ligaments, menisci, and cartilage.

Main Results:

  • Most Stieda fractures involved deep MCL fibers.
  • All cases had posteromedial retinacular and posterior oblique ligament injuries.
  • High association with ACL injuries (8/11) and other fractures (9/11).

Conclusions:

  • Stieda fractures frequently involve deep MCL fibers and other MCL components.
  • High rates of associated posterior medial retinacular, posterior oblique ligament, and ACL injuries.
  • Frequent co-occurrence with additional fractures necessitates comprehensive evaluation.