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Patellar fractures are often associated with a traumatic injury. These may include knee ligament injuries, tibial or fibular fractures, and hip injury. It is important that the orthopaedic surgeon is aware of these injuries as the management of these injuries is different from that of isolated patellar fractures.
Treatment of patellofemoral pain is one of the most common problems faced by orthopaedic surgeons. Patellofemoral pain results from abnormal biomechanics of the knee joint. The management options includes physiotherapy, patellar resurfacing, arthroscopic debridement, and arthroscopic surgery. [27]
The goals of treatment are restoration of the functional status of the joint and obtaining stability and pain-free range of motion. Nonoperative management should be attempted in those patients who have stable joints and are able to tolerate the pain and symptoms. This involves close observation and rest. Injection of the joint with corticosteroid may be helpful to decrease inflammation and prevent osteoarthritis from progressing. Acetaminophen and non-steroidal anti-inflammatory drugs are also helpful. Other medications may be used to treat pain. Physical therapy is used to help restore motion in the joint. If the pain continues, arthroscopic debridement and lavage, arthroplasty, or arthrodesis may be indicated. [21]
ABCD premiered across India in Hindi, Tamil and Telugu languages.[10] The film was released in the United States on 2 June 2013.[11][12] As per the Bollywood trade website Box Office India, with around 1.50 billion viewers,[13] the film grossed 45.11 million in its first week. 827ec27edc