From Orthopedic Surgery Residency Program, Community Memorial Hospital, Ventura, CA (Dr. Kwan and Dr. Shafer), Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Pomona, CA (Mr. Flaig), Department of Orthopedic Surgery, Ventura County Medical Center, Ventura, California (Dr. Ragsdale).
J Am Acad Orthop Surg Glob Res Rev. 2024 Oct 8;8(10). doi: 10.5435/JAAOSGlobal-D-24-00156. eCollection 2024 Oct 1.
Patellar dislocations commonly occur in young adults and often reduce spontaneously or with closed reduction in the emergency department. However, traumatic patellar dislocations in older adults pose unique challenges, often complicated by degenerative osteophytes that hinder standard closed reduction methods. When closed reduction proves ineffective, patients may necessitate arthroscopic or open surgical intervention. This case report details the experience of a 60-year-old man with a traumatic patellar dislocation resistant to standard closed reduction methods, attributed to impaction of the patella against a lateral femoral condyle osteophyte. We present a novel technique for addressing irreducible patellar dislocations through closed reduction, which has yet to be documented in existing literature.
髌骨脱位常见于年轻人，通常可在急诊科自行复位或行闭合复位。然而，老年患者的创伤性髌骨脱位具有独特的挑战，常因妨碍标准闭合复位方法的退行性骨赘而变得复杂。当闭合复位无效时，患者可能需要关节镜或开放性手术干预。本病例报告详细介绍了一位 60 岁男性的创伤性髌骨脱位病例，该患者对标准闭合复位方法有抵抗力，这归因于髌骨撞击外侧股骨髁骨赘。我们提出了一种通过闭合复位解决不可复位髌骨脱位的新方法，该方法在现有文献中尚未有记载。
