Cargando…
Neglected Posterior Knee Dislocation: An Unusual Case Report
Chronic dislocation of the knee is a rare condition due to a diagnostic mistake during emergency assessment. Usually, dislocation obliges the surgeon to carry out a broad assessment, with vascular and neurological examination, and a thorough assessment of joint injuries. The immediate and stable clo...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2017
|
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738492/ https://www.ncbi.nlm.nih.gov/pubmed/29270565 http://dx.doi.org/10.1055/s-0037-1607219 |
_version_ | 1783287705137840128 |
---|---|
author | Leonardi, Francesco Zorzan, Alessandra Palermo, Augusto Molfetta, Luigi |
author_facet | Leonardi, Francesco Zorzan, Alessandra Palermo, Augusto Molfetta, Luigi |
author_sort | Leonardi, Francesco |
collection | PubMed |
description | Chronic dislocation of the knee is a rare condition due to a diagnostic mistake during emergency assessment. Usually, dislocation obliges the surgeon to carry out a broad assessment, with vascular and neurological examination, and a thorough assessment of joint injuries. The immediate and stable closed reduction can resolve neurovascular compression. The most serious late sequela is joint instability with impairment of ambulation and patient's autonomy. Treatment of neglected knee dislocation is surgical, that is, arthrodesis or arthroplasty, the latter representing the treatment of choice. The case described herein appears unique because of the clinical and radiographic features. Interestingly, over the years, the neurovascular bundle has inadvertently adapted to the posterior femur displacement without secondary damage. |
format | Online Article Text |
id | pubmed-5738492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-57384922017-12-21 Neglected Posterior Knee Dislocation: An Unusual Case Report Leonardi, Francesco Zorzan, Alessandra Palermo, Augusto Molfetta, Luigi Joints Chronic dislocation of the knee is a rare condition due to a diagnostic mistake during emergency assessment. Usually, dislocation obliges the surgeon to carry out a broad assessment, with vascular and neurological examination, and a thorough assessment of joint injuries. The immediate and stable closed reduction can resolve neurovascular compression. The most serious late sequela is joint instability with impairment of ambulation and patient's autonomy. Treatment of neglected knee dislocation is surgical, that is, arthrodesis or arthroplasty, the latter representing the treatment of choice. The case described herein appears unique because of the clinical and radiographic features. Interestingly, over the years, the neurovascular bundle has inadvertently adapted to the posterior femur displacement without secondary damage. Georg Thieme Verlag KG 2017-10-04 /pmc/articles/PMC5738492/ /pubmed/29270565 http://dx.doi.org/10.1055/s-0037-1607219 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Leonardi, Francesco Zorzan, Alessandra Palermo, Augusto Molfetta, Luigi Neglected Posterior Knee Dislocation: An Unusual Case Report |
title | Neglected Posterior Knee Dislocation: An Unusual Case Report |
title_full | Neglected Posterior Knee Dislocation: An Unusual Case Report |
title_fullStr | Neglected Posterior Knee Dislocation: An Unusual Case Report |
title_full_unstemmed | Neglected Posterior Knee Dislocation: An Unusual Case Report |
title_short | Neglected Posterior Knee Dislocation: An Unusual Case Report |
title_sort | neglected posterior knee dislocation: an unusual case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738492/ https://www.ncbi.nlm.nih.gov/pubmed/29270565 http://dx.doi.org/10.1055/s-0037-1607219 |
work_keys_str_mv | AT leonardifrancesco neglectedposteriorkneedislocationanunusualcasereport AT zorzanalessandra neglectedposteriorkneedislocationanunusualcasereport AT palermoaugusto neglectedposteriorkneedislocationanunusualcasereport AT molfettaluigi neglectedposteriorkneedislocationanunusualcasereport |