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The Medical Legal Expert Blog is your source for some of the most helpful and useful medical and demonstrative evidence facts and information.

Medical Legal Educational Blog for Personal Injury Attorneys

Breaking Down Traumatic Arthritis

By: Robert L. Shepherd MS, Certified Medical Illustrator, President & CEO, MediVisuals Inc.

Fractures can result in several long term or permanent complications that can necessitate additional surgical procedures. One of the most common long term debilitating complications is traumatic arthritis.Traumatic arthritis can affect almost any moveable joint in the body. To explain traumatic arthritis more in depth, we will be focusing on the tibiotalar (ankle) joint, as shown in the illustration below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As like most moveable joints, the tibiotalar joint consists of smooth articular bone covered by thick, shock-absorbing articular cartilage.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

During trauma, the joint surfaces can be driven together resulting in injuries to the cartilage and microfractures of the articular surface (even without obvious intrarticular fracture).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The bone and cartilage then undergo changes that result in the progressive breakdown of the joint. As the process advances, the joint becomes painful. In most cases, the only treatment options are joint replacement or fusion.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The acromioclavicular (AC) joint also frequently falls victim to traumatic arthritis. As the AC joint enlarges (hypertrophy) it impinges on the rotator cuff, which is referred to as subacromial impingement. This can cause irritation or tearing of the rotator cuff and is most often treated by AC joint resection and subacromial decompression.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© MediVisuals, Inc. - Permission to use any image (or parts thereof) posted on this blog in depositions, demand packages, settlement hearings, mediation, trial, and/or any other litigation or non-litigation use can be obtained by contacting MediVisuals at www.medivisuals.com – otherwise copyright laws prohibit their use for those or other purposes.

Originally Posted by MediVisuals at 5/14/2014

Bob Shepherd, MS, CMI, FAMI 

Bob Shepherd is a Certified Medical Illustrator, having graduated from one of only four accredited medical illustration graduate programs in North America.

 

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