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出生时先天性膝关节脱位——一例自发复位的罕见病例。

Congenital Knee Dislocation at Birth - An Extraordinary Case of Spontaneous Reduction.

作者信息

Kumar Abilash, Arumugam Manohar, Azuatul Nor, Noor Kamariah

机构信息

Departamento de Cirurgia Ortopédica, Universidade Putra Malaysia, Serdang, Selangor, Malásia.

Departamento de Cirurgia Ortopédica, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malásia.

出版信息

Rev Bras Ortop (Sao Paulo). 2020 Dec 22;58(1):164-167. doi: 10.1055/s-0040-1718512. eCollection 2023 Feb.

Abstract

Congenital knee dislocation (CKD) is a rare malformation characterized by hyperextension deformity of the knee with anterior tibia displacement, present at birth. Rarely reported, CKD might occur as an isolated deformity or commonly associated with musculoskeletal abnormalities, with the most common ones being developmental dysplasia of the hip (DDH) and clubfoot. The etiology is unknown, but CKD has been associated with certain intrinsic and extrinsic factors. Treatment with conservative methods at an early stage is most likely to yield successful results. We report here a rare case of successful spontaneous reduction of CKD in an infant within 24 hours of life.

摘要

先天性膝关节脱位(CKD)是一种罕见的畸形,其特征为膝关节过度伸展畸形伴胫骨前移,出生时即存在。CKD报道较少,可能作为孤立畸形出现,或常与肌肉骨骼异常相关,最常见的是髋关节发育不良(DDH)和马蹄内翻足。病因不明,但CKD与某些内在和外在因素有关。早期采用保守方法治疗最有可能取得成功结果。我们在此报告一例罕见病例,一名婴儿在出生后24小时内CKD成功自发复位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bd2/10038710/3ea5090f71ab/10-1055-s-0040-1718512-i2000073en-1.jpg

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本文引用的文献

1
The management of knee dislocation in a child with Larsen syndrome.Larsen综合征患儿膝关节脱位的治疗
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J Bone Joint Surg Br. 1967 Feb;49(1):112-20.
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Congenital dislocation of the knee.
J Pediatr Orthop. 1987 Mar-Apr;7(2):194-200. doi: 10.1097/01241398-198703000-00017.

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