Garnaoui Hatim, Trafeh Mohamed Ali, El Kassimi Charafeddine, Rafaoui Abderrahim, Rahmi Mohamed, Garch Abdelhak
Orthopedic Department P32, University Hospital Ibn Rochd, Faculty of Medicine & Pharmacy of Casablanca, Morocco.
Orthopedic Department P32, University Hospital Ibn Rochd, Faculty of Medicine & Pharmacy of Casablanca, Morocco.
Int J Surg Case Rep. 2022 Jan;90:106745. doi: 10.1016/j.ijscr.2021.106745. Epub 2021 Dec 30.
Traumatic dislocation of the knee is a rare and severe injury, often caused by a severe trauma. Neglected knee dislocations are much more uncommon and treatment options are not clearly described.
We reported the case of a 26-year-old man with two years neglected knee dislocation which was managed with open reduction and stabilization with external fixation and intra-articular Steinman pins for six weeks.
Knee dislocations are rare injuries that can be underestimated during the emergency assessment, particularly in the absence of neurovascular injuries, which usually lead to surgical treatment, or the presence of severe trauma that disguises dislocation as the case for our patient. Only a high clinical suspicion can avoid neglecting the more severe joint injury.
膝关节创伤性脱位是一种罕见的严重损伤,通常由严重创伤引起。被忽视的膝关节脱位更为罕见,且治疗方案尚无明确描述。
我们报告了一例26岁男性患者,其膝关节脱位被忽视了两年,采用切开复位、外固定及关节内斯氏针固定六周的方法进行治疗。
膝关节脱位是罕见损伤,在急诊评估时可能被低估,尤其是在没有神经血管损伤(通常需要手术治疗)或存在严重创伤掩盖脱位情况(如我们的患者)时。只有高度的临床怀疑才能避免忽视更严重的关节损伤。