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系列误诊先天性髌骨脱位的表现与修复

Presentation and Repair of Serial Misdiagnosed Congenital Patellar Dislocation.

作者信息

Nguyen Hiep, Mekler Elizabeth, Truong Ann, Nguyen Nghi, Iqbal Enjolina, Kidron Ariel

机构信息

Emergency Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

Orthopedic Surgery, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

出版信息

Cureus. 2021 Dec 1;13(12):e20082. doi: 10.7759/cureus.20082. eCollection 2021 Dec.

Abstract

Congenital patellar dislocation (CPD) is a rare deformity in children that involves a laterally displaced patella. While potentially identified in early childhood using diagnostic imaging techniques, it is often misdiagnosed at birth, creating pain and mobility issues as the child grows. Dislocation of the patella is permanent and manually irreducible, often manifesting with flexion contracture of the knee, genu valgum, external tibial torsion, and foot deformity. Surgical correction is the treatment of choice in order to prevent future sequelae. We herein present a case of CPD in a four-year-old Asian male who was initially misdiagnosed before undergoing successful surgical repair using the Roux-Goldthwait technique.

摘要

先天性髌骨脱位(CPD)是儿童中一种罕见的畸形,表现为髌骨向外侧移位。虽然可以通过诊断成像技术在幼儿期发现,但在出生时常常被误诊,随着孩子成长会产生疼痛和活动问题。髌骨脱位是永久性的,手法无法复位,常伴有膝关节屈曲挛缩、膝外翻、胫骨外旋和足部畸形。为预防未来的后遗症,手术矫正为首选治疗方法。我们在此介绍一例4岁亚洲男性先天性髌骨脱位病例,该患儿最初被误诊,后来采用Roux-Goldthwait技术成功进行了手术修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e6/8719602/b89d90b39713/cureus-0013-00000020082-i01.jpg

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