A small amount of knee dislocations is included in the irreducible knee dislocations group. In such instance, medial femoral condyle is buttonholed through the gap formed by medial retinacular and capsular structures and this prevents reduction. In this study, we present two cases in which there were irreducible posterolateral knee dislocations resulting from a low-energy trauma. In both cases, dimple sign produced by the invagination of the medial retinacular structures and capsule and ecchymosis medially were noted. Soft tissue invaginated between the trochlea and intercondylar notch was extracted by open reduction.
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http://dx.doi.org/10.1016/j.arthro.2004.04.010 | DOI Listing |
Knee
December 2024
Graduate School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China. Electronic address:
Background: In the knee joints of patients with recurrent patellar dislocation (RPD), an increased relative tibial external rotation (rTER) is often observed. However, the changes in this parameter pre- and postoperatively remain unclear.
Purpose: The purpose of this study was to reveal preoperative and postoperative changes in rTER in patients with RPD.
Am J Sports Med
January 2025
Washington University in St Louis, Saint Louis, Missouri, USA.
Background: Consequences of osteochondral fractures associated with patellar dislocation can be severe for younger patients. Precise 3-dimensional characterization of fracture location, size, frequency, and radiographic associations remain undefined in this population.
Purpose: (1) To define the topographic characteristics of osteochondral fractures in pediatric and adolescent patients with first-time patellar dislocations and (2) to determine the relationship between these characteristics and radiographic and patient factors.
Injury
January 2025
Temple University Hospital, Department of Orthopaedic Surgery, USA.
Objectives: Long bone fractures with concomitant vascular injury have the potential to be life and limb threatening injuries, with increased risk for limb loss. There is currently no established surgical order of operations for orthopaedic and vascular intervention. This study compares injury classification, warm ischemia time and patient outcomes in patients with long bone fractures and associated vascular injury after orthopaedic versus vascular primary intervention.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Department of Orthopedics, Qingdao Municipal Hospital, 1 Jiaozhou Road, Shinan District, QingDao, Shandong Province, 266399, China.
Background: Spacer-type tibial osteotomy have been proven a novel and effective osteotomy to treat osteoarthritis, while lack of comparison with other surgical methods in younger patients. This study aims to evaluate the short-term clinical outcomes of spacer-type tibial osteotomy versus open wedge high tibial osteotomy (OWHTO) and unicompartmental knee arthroplasty (UKA) for Kellgren-Lawrence (K-L) grade 3-4 osteoarthritis (OA) in patients younger than 65 years.
Methods: This retrospective study analyzed a total of 224 patients with K-L grade 3-4 knee OA treated from March 2018 to November 2020.
Int J Surg Case Rep
January 2025
Department of Radiology, Mehal Meda Hospital, Mehal Meda, Ethiopia.
Introduction And Importance: The estimated incidence of congenital dislocation of the knee, also referred to as genu recurvatum, is approximately 1 in 100,000 live births. The purpose of this report is to present a rare case of unilateral congenital knee dislocation, highlighting the clinical presentation and management.
Case Presentation: A 9-day-old female infant was born to a 30-year-old primigravida mother following an uncomplicated term pregnancy of 39 weeks and 4 days.
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