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髌骨上脱位：一例报告

Superior dislocation of the patella: a case report.

作者信息

Cusco Xavier, Seijas Roberto, Ares Oscar, Cugat Jose R, Garcia-Balletbo Montserrat, Cugat Ramon

机构信息

Orthopedic and Trauma Surgery, Fundación García Cugat Hospital Quiron Barcelona - Spain.

出版信息

J Orthop Surg Res. 2009 Jul 30;4:29. doi: 10.1186/1749-799X-4-29.

DOI:10.1186/1749-799X-4-29
PMID:19642996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2724434/
Abstract

BACKGROUND

Superior dislocation of the patella is an uncommon condition that mainly occurs in knees with a high patella and medial femorotibial degenerative arthritis. There are no previous reports of this condition occurring in association with tibial valgus osteotomy.

CASE REPORT

We report the case of a patient in whom vertical dislocation recurred twice at 4 months after tibial valgus osteotomy. To avert additional recurrence or new dislocations, the patient was treated surgically to remove the existing osteophytes.

CONCLUSIONS

An arthroscopic approach was decided because of the lower associated morbidity and good results with this technique compared to open surgery.

摘要

背景

髌骨上脱位是一种罕见的病症，主要发生于高位髌骨和股胫内侧退行性关节炎的膝关节。此前尚无该病症与胫骨外翻截骨术相关的报道。

病例报告

我们报告了1例患者，其在胫骨外翻截骨术后4个月垂直脱位复发了2次。为避免再次复发或出现新的脱位，对该患者进行了手术治疗以去除现有的骨赘。

结论

由于与开放手术相比，关节镜手术相关发病率较低且效果良好，因此决定采用关节镜手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/2724434/eae36ada1a42/1749-799X-4-29-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/2724434/4ed164bf78ed/1749-799X-4-29-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/2724434/eae36ada1a42/1749-799X-4-29-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/2724434/4ed164bf78ed/1749-799X-4-29-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cc6/2724434/eae36ada1a42/1749-799X-4-29-2.jpg

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本文引用的文献

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Knee Surg Sports Traumatol Arthrosc. 2007 Sep;15(9):1112-3. doi: 10.1007/s00167-006-0283-7. Epub 2007 Jan 23.
2
Superior dislocation of the patella with early onset patellofemoral arthritis: a case report and literature review.髌骨上脱位合并早期髌股关节炎：一例报告及文献复习
Knee Surg Sports Traumatol Arthrosc. 2006 Apr;14(4):350-5. doi: 10.1007/s00167-005-0670-5. Epub 2005 Oct 6.
3
The management of superior dislocation of the patella with interlocking osteophytes--an update on a rare problem.
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BMJ Case Rep. 2012 Dec 10;2012:bcr2012007571. doi: 10.1136/bcr-2012-007571.
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