yogabook / pathologie / patella fracture

patella fracture

Definition of

Patella fractures are usually the result of direct impact trauma.
This can be an adequate direct trauma, usually a fall on the patella or a dashboard trauma.
patella or a dashboard trauma, or an inadequate indirect trauma with a previously damaged kneecap, in which even a strong, usually eccentric contraction of the quadriceps can break the patella. In most cases, the retinaculi as a reserve extensor apparatus also tear afterwards. A distinction is made between fracture types according to the course of the fracture line. If a fracture is displaced and the retinacula are torn, surgical intervention is required. Transverse fractures, i.e. fractures in the transverse direction, are particularly difficult due to the traction of the quadriceps. Conservative treatment is reserved for stable fractures without dislocation or with only a very slight degree of dislocation. An X-ray is usually sufficient for assessment. Transverse fractures with a dislocation of at least 2 mm and comminuted fractures must be treated surgically. Shortly after the operation, usually on the following day, moderate partial weight bearing on forearm crutches is possible. If the radiological follow-up is good after 7 weeks, weight-bearing can be gradually increased. In the first two weeks, the patient may only bend up to 60 degrees, then this is increased to 90° in order to regain full range of motion from the 6th week post-op. Orthoses are rarely necessary.

Cause

1. Direct trauma: impact trauma. Indirect trauma: inadequate trauma with strong contraction of the quadriceps

Diagnosis

1. Clinical with palpation; X-ray

Symptoms

1. Depending on the type of fracture, there may be a gap between the split parts of the patella
2. Joint effusion; with direct trauma also bruise mark

Therapy

1. Conservative only for fractures without or with only very slight dislocation, otherwise surgery, forearm crutches

Asana practice

In the period following the patella fracture, the quadriceps and other leg muscles will experience atrophy as a result of the rest. These effects can be counteracted with standing postures in accordance with the given load requirements in terms of weight and flexion of the knee joint. In particular, asymmetrical standing postures are well suited to working through side discrepancies that have arisen – and may already exist. Only the most important muscles affected by atrophy are listed below, but others are also trained during the corresponding exercises. The focus is initially on strengthening postures. Any loss of flexibility suffered can be accepted in the short term and made up for later.

Asanas

Strengthening

Asanas in 812: Strengthening the quadriceps
Asanas in 742: Strengthening the abductors
Asanas in 752: Strengthening the abductors
Asanas in 722: Strengthening the hamstrings
Asanas in 852: Strengthening the plantar flexors
Asanas in 862: Strengthening the supinators of the ankle
Asanas in 872: Strengthening the pronators of the ankle
Asanas in 737: Strengthening the exorotators of the hip joint
Asanas in 732: Strengthening the endorotators of the hip joint

Stretching

Asanas in 811: Stretching the quadriceps
Asanas in 741: Stretching the abductors
Asanas in 751: Stretching the abductors
Asanas in 721: Stretching the hamstrings
Asanas in 851: Stretching the plantar flexors
Asanas in 861: Stretching the supinators of the ankle
Asanas in 871: Stretching the pronators of the ankle
Asanas in 736: Stretching the exorotators of the hip joint
Asanas in 731: Stretching the endorotators of the hip joint