Kneed For Speed - Page #4
 

Working Diagnosis:
Stress fracture of tibial plateau

Treatment:
Patient wore a knee brace with no weight bearing for 1 week. After 1 week she progressed to partial weight bearing as tolerated. After able to fully bear weight, she resumed low-impact cardiovascular activities as tolerated. Pain was managed with acetaminophen.

Outcome:
Pain was well managed with acetaminophen. She was off the analgesic medication after 2 weeks <br> <br>After week 1, she started walking with limited weight bearing. Over the next three weeks, she progressively increased her weight bearing <br> <br>At week 4, patient was able to fully bear weight. She was also pain free. Low-impact cardiovascular activity was done for the next 4 weeks. <br> <br>The patient was able to begin running at the end of treatment.

Author's Comments:
Tibial plateau fractures may appear unremarkable on initial X-ray. If clinical suspicion is high, an MRI can detect bone bruising, and x-ray should be repeated. With proper treatment patients can return to play with no limitations.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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