Intraarticular fracture: Difference between revisions
From WikiMD's Wellness Encyclopedia
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{{Infobox medical condition | |||
| name = Intraarticular fracture | |||
| image = [[File:Pmedialmaleolifarc.png|250px]] | |||
| caption = X-ray of an intraarticular fracture of the medial malleolus | |||
| field = [[Orthopedic surgery]] | |||
| synonyms = Intra-articular fracture | |||
| symptoms = [[Pain]], [[swelling]], [[joint instability]], [[decreased range of motion]] | |||
| complications = [[Post-traumatic arthritis]], [[joint stiffness]], [[chronic pain]] | |||
| onset = Sudden, typically following [[trauma]] | |||
| duration = Varies, depending on severity and treatment | |||
| types = [[Comminuted fracture]], [[displaced fracture]], [[non-displaced fracture]] | |||
| causes = [[Trauma]], [[sports injuries]], [[falls]], [[motor vehicle accidents]] | |||
| risks = [[Osteoporosis]], [[high-impact sports]], [[previous fractures]] | |||
| diagnosis = [[Physical examination]], [[X-ray]], [[CT scan]], [[MRI]] | |||
| differential = [[Sprain]], [[dislocation]], [[contusion]] | |||
| prevention = [[Protective gear]], [[fall prevention]], [[osteoporosis management]] | |||
| treatment = [[Immobilization]], [[surgery]], [[physical therapy]] | |||
| medication = [[Pain management]], [[anti-inflammatory drugs]] | |||
| prognosis = Varies, depending on severity and treatment | |||
| frequency = Common in [[athletes]] and [[elderly]] | |||
}} | |||
{{Short description|A type of bone fracture involving a joint surface}} | {{Short description|A type of bone fracture involving a joint surface}} | ||
An '''intra-articular fracture''' is a type of [[bone fracture]] where the break extends into the surface of a [[joint]]. This type of fracture can lead to [[arthritis]] if not properly treated, as it involves the [[articular cartilage]] that covers the ends of bones in a joint. | An '''intra-articular fracture''' is a type of [[bone fracture]] where the break extends into the surface of a [[joint]]. This type of fracture can lead to [[arthritis]] if not properly treated, as it involves the [[articular cartilage]] that covers the ends of bones in a joint. | ||
==Causes== | ==Causes== | ||
Intra-articular fractures are often caused by high-impact trauma such as [[motor vehicle accidents]], [[falls from height]], or sports injuries. These fractures can also occur due to [[osteoporosis]], where the bones are weakened and more susceptible to breaking. | Intra-articular fractures are often caused by high-impact trauma such as [[motor vehicle accidents]], [[falls from height]], or sports injuries. These fractures can also occur due to [[osteoporosis]], where the bones are weakened and more susceptible to breaking. | ||
==Symptoms== | ==Symptoms== | ||
The symptoms of an intra-articular fracture include: | The symptoms of an intra-articular fracture include: | ||
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* Inability to move the affected joint | * Inability to move the affected joint | ||
* Deformity or abnormal position of the joint | * Deformity or abnormal position of the joint | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of an intra-articular fracture typically involves: | Diagnosis of an intra-articular fracture typically involves: | ||
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* [[X-ray]] imaging to visualize the fracture | * [[X-ray]] imaging to visualize the fracture | ||
* [[CT scan]] or [[MRI]] for detailed images of the joint and surrounding soft tissues | * [[CT scan]] or [[MRI]] for detailed images of the joint and surrounding soft tissues | ||
==Treatment== | ==Treatment== | ||
Treatment of intra-articular fractures depends on the severity and location of the fracture. Options include: | Treatment of intra-articular fractures depends on the severity and location of the fracture. Options include: | ||
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* [[Open reduction and internal fixation]] (ORIF) for more severe fractures, involving surgical alignment and stabilization with [[plates]] and [[screws]] | * [[Open reduction and internal fixation]] (ORIF) for more severe fractures, involving surgical alignment and stabilization with [[plates]] and [[screws]] | ||
* [[Physical therapy]] to restore function and mobility | * [[Physical therapy]] to restore function and mobility | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for intra-articular fractures varies. Early and appropriate treatment is crucial to prevent complications such as [[post-traumatic arthritis]]. Recovery may take several months, and some patients may experience long-term joint stiffness or pain. | The prognosis for intra-articular fractures varies. Early and appropriate treatment is crucial to prevent complications such as [[post-traumatic arthritis]]. Recovery may take several months, and some patients may experience long-term joint stiffness or pain. | ||
==See also== | |||
== | |||
* [[Fracture (bone)]] | * [[Fracture (bone)]] | ||
* [[Joint]] | * [[Joint]] | ||
* [[Arthritis]] | * [[Arthritis]] | ||
* [[Orthopedic surgery]] | * [[Orthopedic surgery]] | ||
[[Category:Orthopedic surgery]] | [[Category:Orthopedic surgery]] | ||
[[Category:Fractures]] | [[Category:Fractures]] | ||
Latest revision as of 03:47, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Intraarticular fracture | |
|---|---|
| |
| Synonyms | Intra-articular fracture |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pain, swelling, joint instability, decreased range of motion |
| Complications | Post-traumatic arthritis, joint stiffness, chronic pain |
| Onset | Sudden, typically following trauma |
| Duration | Varies, depending on severity and treatment |
| Types | Comminuted fracture, displaced fracture, non-displaced fracture |
| Causes | Trauma, sports injuries, falls, motor vehicle accidents |
| Risks | Osteoporosis, high-impact sports, previous fractures |
| Diagnosis | Physical examination, X-ray, CT scan, MRI |
| Differential diagnosis | Sprain, dislocation, contusion |
| Prevention | Protective gear, fall prevention, osteoporosis management |
| Treatment | Immobilization, surgery, physical therapy |
| Medication | Pain management, anti-inflammatory drugs |
| Prognosis | Varies, depending on severity and treatment |
| Frequency | Common in athletes and elderly |
| Deaths | N/A |
A type of bone fracture involving a joint surface
An intra-articular fracture is a type of bone fracture where the break extends into the surface of a joint. This type of fracture can lead to arthritis if not properly treated, as it involves the articular cartilage that covers the ends of bones in a joint.
Causes[edit]
Intra-articular fractures are often caused by high-impact trauma such as motor vehicle accidents, falls from height, or sports injuries. These fractures can also occur due to osteoporosis, where the bones are weakened and more susceptible to breaking.
Symptoms[edit]
The symptoms of an intra-articular fracture include:
- Severe pain at the site of the fracture
- Swelling and bruising
- Inability to move the affected joint
- Deformity or abnormal position of the joint
Diagnosis[edit]
Diagnosis of an intra-articular fracture typically involves:
- Physical examination
- X-ray imaging to visualize the fracture
- CT scan or MRI for detailed images of the joint and surrounding soft tissues
Treatment[edit]
Treatment of intra-articular fractures depends on the severity and location of the fracture. Options include:
- Immobilization with a cast or splint
- Closed reduction and casting for less severe fractures
- Open reduction and internal fixation (ORIF) for more severe fractures, involving surgical alignment and stabilization with plates and screws
- Physical therapy to restore function and mobility
Prognosis[edit]
The prognosis for intra-articular fractures varies. Early and appropriate treatment is crucial to prevent complications such as post-traumatic arthritis. Recovery may take several months, and some patients may experience long-term joint stiffness or pain.
