Hello! I’m 25, female. I got injured at a ski resort 10.03.2012. I went to the trauma department. An X-ray image was made, I received articular puncture and immobilization. http://da.am/i/1613/, http://da.am/i/1615/, http://da.am/i/1616/, http://da.am/i/1617/, http://da.am/i/1618/, http://da.am/i/1619/, http://da.am/i/1621/, http://da.am/i/1622/, http://da.am/i/1623/, http://da.am/i/1624/, http://da.am/i/1625/, http://da.am/i/1628/,http://da.am/i/1631/, http://da.am/i/1633/, http://da.am/i/1634/, http://da.am/i/1635/ Then I went to the clinic, I underwent CT and MRI scanning of the knee joint, one more puncture and diagnosed with CLOSED FRACTURE OF ANTERIOR EDGE OF ECTOCONDYLE OF THE LEFT SHINBONE WITH FRAGMENT DISLOCATION UP TO 3MM. No destructive changes. The structure of the sponge substance is homogenous. The angle of the knee joint axle is 173 degrees. The cortical layer without pathologic ruptures. No exudate is detected in the articular cavity. Adipose bodies without obvious changes. Anatomical and functional differentiation is not damaged, the width of roentgen articular interspace of the knee joint is normal. Articular surfaces even, no sclerosis. Kneecap: of regular shape, no signs of instability are detected, no sclerosis. The articular interspace between the kneecap and thing bone is less than 5 mm (normal) The articular interspace between the kneecap and thing bone is less than 5 mm (normal), the subpatellar bursa base less than 5 mm (normal). Soft tissues without obvious changes. The cartilage surface of the kneecap, femoral condyle and tibial plateau of regular thickness. Anterior and posterior horns of medial and lateral menisci have a homogenous structure and send a normal low intensity signal, parameniscal cysts of the diameter of up to 5-7 mm are detected in the posterior horn of the lateral meniscal. The mid-parts of menisci without peculiarities. The anterior and posterior cruciate ligaments withour peculiarities, collateral ligaments without any signs of damage. Moderate amount of exudate (blood) is detected in the articular cavity. The articular capsule in the anterior parts is detected as thickened, swelled. The soft tissues surrounding the knee joint with signs of infiltration. I’ve been taking “Arthron Triactive” 2 pills a day for 2 months after the injury. The extremity was immobilized with “knee” turbocast for six weeks. Description: “consolidating fracture of exterior condyle of the left shinbone is detected, the fragment edges on its posterior part are sclerosed. (could you please explain if possible what “sclerosed” means?). A bone fragment 5x3 mm is visualized along the posterior internal surface of the exterior condyle. No pathologic liquid accumulation in the examined region is detected”. – Does it mean that the fracture hasn’t knitted? Is everything bad? Or it’s normal in my case? (images enclosed, I hope the quality is fine). The doctor told me that I must not stepped with the foot till June 1. Control CT scan (9 weeks): http://da.am/i/2282/, http://da.am/i/2283/, http://da.am/i/2284/, http://da.am/i/2285/,http://da.am/i/2286/, http://da.am/i/2287/, http://da.am/i/2282/, http://da.am/i/2288/,http://da.am/i/2287/ Could you please tell me what possibility of developing arthrosis after my injury is? What should I do to prevent arthrosis???
Makinyan L.G. replies
Hello, Irina! The fracture is outside the loaded (working) region, so don’t worry about quick progressing arthrosis. Everything’s not so bad. One can consider the degree of injury knitting no earlier than in 3 months.