دورية أكاديمية

Congenital dislocation of the knee complicated with bilateral hip dislocation: a case report and literature review.

التفاصيل البيبلوغرافية
العنوان: Congenital dislocation of the knee complicated with bilateral hip dislocation: a case report and literature review.
المؤلفون: Qi B; Pediatric Orthopaedic Hospital, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China.; Xi'an Key Laboratory of Skeletal Deformity and Injury Repair, 555 Youyi East Road, Beilin District, Xi'an, Shaanxi, 710021, China., Jie Q; Pediatric Orthopaedic Hospital, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China. jieqiangchina@126.com.; Xi'an Key Laboratory of Skeletal Deformity and Injury Repair, 555 Youyi East Road, Beilin District, Xi'an, Shaanxi, 710021, China. jieqiangchina@126.com., Wang X; Pediatric Orthopaedic Hospital, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China.; Xi'an Key Laboratory of Skeletal Deformity and Injury Repair, 555 Youyi East Road, Beilin District, Xi'an, Shaanxi, 710021, China., Lu Q; Pediatric Orthopaedic Hospital, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China.; Xi'an Key Laboratory of Skeletal Deformity and Injury Repair, 555 Youyi East Road, Beilin District, Xi'an, Shaanxi, 710021, China., Su F; Pediatric Orthopaedic Hospital, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China.; Xi'an Key Laboratory of Skeletal Deformity and Injury Repair, 555 Youyi East Road, Beilin District, Xi'an, Shaanxi, 710021, China., Yang Y; Pediatric Orthopaedic Hospital, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China.; Xi'an Key Laboratory of Skeletal Deformity and Injury Repair, 555 Youyi East Road, Beilin District, Xi'an, Shaanxi, 710021, China.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Apr 24; Vol. 25 (1), pp. 327. Date of Electronic Publication: 2024 Apr 24.
نوع المنشور: Case Reports; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Knee Dislocation*/complications , Knee Dislocation*/congenital , Knee Dislocation*/therapy , Knee Dislocation*/diagnostic imaging , Knee Dislocation*/surgery , Knee Dislocation*/diagnosis , Hip Dislocation, Congenital*/complications , Hip Dislocation, Congenital*/therapy , Hip Dislocation, Congenital*/diagnosis, Humans ; Female ; Infant ; Treatment Outcome ; Knee Joint/diagnostic imaging ; Knee Joint/physiopathology ; Casts, Surgical
مستخلص: Background: Congenital dislocation of the knee is characterised by excessive knee extension or dislocation and anterior subluxation of the proximal tibia, and this disease can occur independently or coexist with different systemic syndromes. Nevertheless, significant controversy surrounds treating this disease when combined with hip dislocation. This paper presents a case of a 4-month-old patient diagnosed with bilateral hip dislocation combined with this disease. The study discusses the pathophysiology, diagnosis, and treatment methods and reviews relevant literature.
Case Presentation: We reported a case of a 4-month-old female infant with congenital dislocation of the right knee joint, which presented as flexion deformity since birth. Due to limitations in local medical conditions, she did not receive proper and effective diagnosis and treatment. Although the flexion deformity of her right knee joint partially improved without treatment, it did not fully recover to normal. When she was 4 months old, she came to our hospital for consultation, and we found that she also had congenital dislocation of both hip joints and atrial septal defect. We performed staged treatment for her, with the first stage involving surgical intervention and plaster orthosis for her congenital dislocation of the right knee joint, and the second stage involving closed reduction and plaster fixation orthosis for her congenital hip joint dislocation. Currently, the overall treatment outcome is satisfactory, and she is still under follow-up observation.
Conclusions: Early initiation of treatment is generally advised, as nonsurgical methods prove satisfactory for mild cases. However, surgical intervention should be considered in cases with severe stiffness, unresponsive outcomes to conservative treatment, persistent deformities, or diagnoses and treatments occurring beyond the first month after birth.
(© 2024. The Author(s).)
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معلومات مُعتمدة: 2020LCZX-03 Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province; 2020LCZX-03 Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province; 2020LCZX-03 Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province; 2020LCZX-03 Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province; 2020LCZX-03 Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province; 2020LCZX-03 Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
فهرسة مساهمة: Keywords: Classification; Congenital knee dislocation; Treatment
تواريخ الأحداث: Date Created: 20240424 Date Completed: 20240425 Latest Revision: 20240503
رمز التحديث: 20240504
مُعرف محوري في PubMed: PMC11040897
DOI: 10.1186/s12891-024-07316-1
PMID: 38658889
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-024-07316-1