Intra articular fracture

[evejones]

Does anyone know if these heal the same as a bone fracture.

Following a search, I found that

"Fractures that extend into the joints(intra-articular) can cause premature arthritis of the joint. "

Does any one know how this occurs and whether healing of cartilage could be a problem as compared to bone

[intra fracture]

As a general rule intra articular fractures take longer to recover and require a more cautious approach for management. Depending on which joint is affected will obviously havecan effect, however load bearing joint are harder to manage. Immobilisation is essential, sometimes internal fixation is warranted.

[evejones]

Intra fracture

This is the MRI report following ankle injury

1. Small impaction fracture involoving the medial talus at the head neck junction. Concomitant contusional injury anterior tibial plafond and medial malleolus
2.Small bone fragment measuring 3mm is present within the fracture involving the talar neck/head
3.Small undisplaced intra-articluar fracture posterior aspect tibial plafond

Advice was to wear a brace and stay on crutches. It has been 3 weeks now. I am worried that maybe a cast should have been given . Could not get much info from the doctor. How serious is this.

I hope you can give further info

Eve

[orthopod]

For talar dome they used to cast all the time but now it is just a brace. I would get an opinion on the ''Small undisplaced intra-articluar fracture posterior aspect tibial plafond''. If you want to return to a fairly active lifestyle I would be asking for an orthopaedic consult on whether an arthroscope is best practice for this particular injury.

Your surgeon may end up telling you to go for a 3 month conservative rehab, but at least you know.

[evejones]

Hi Orthopod,

Thanks for the reply,

What does 3 months conservative rehab involve. Does that mean 3 months of being on crutches or 3 months or wait and see if it causes trouble.

Can these intra articular fractures heal on their own/

Look forward to hearing from you

Eve