The traumatic factor plays a prominent rôle in this condition. Two types of cases are noted: (1) the. Academic Surgeons. Upstate Orthopedics, LLP – Upstate Medical University Department of Orthopedic Surgery in Syracuse, NY is seeking a BC/BE Surgeons in. Habitual dislocation of patella – surgical technique. Habitual Dislocation Patella a surgical case summary Vinod Naneria Girish Yeotikar Arjun.
|Published (Last):||9 February 2017|
|PDF File Size:||4.61 Mb|
|ePub File Size:||2.88 Mb|
|Price:||Free* [*Free Regsitration Required]|
However, late presentation of habitual patellar dislocation with osteoarthritis is rare and treatment plan has not yet been established. Overall, the cause of dislocation was isolated rupture of the medial stabilizing apparatus of the patella.
J Bone Joint Surg Br.
Among them, osteotomy combined with proximal soft tissue realignment procedures including lateral release and medial reefing has been commonly performed.
Similar findings were reported by other authors showing contractures of quadriceps mechanism in cases of habbitual dislocation of patella. Patellar maltracking was persistent and so, it was decided to disloxation with medial and distal transfer of tibial tuberosity. In adults, if genu valgum deformity remains after realignment due to the unstable patella, symptoms may also persist. Reconstruction of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in children.
An anatomic radiographic study. We here report a case of habitual dislocation of the patella with genu valgum treated with a corrective osteotomy of the distal femur combined with patellw release and medial reefing.
Habitual dislocation of patella: A review
Restoration of dynamic stability of the patella by pes anserinus transposition. Surgical management of congenital and habitual dislocation of the patella. Patellar dislocation during flexion was duslocation with arthroscopy. Habitual patella dislocation, Genu valgum, Distal femoral osteotomy. Dislocation did not recur dislpcation 27 months after surgery. View at Google Scholar T. In a study of 14 patients Drez et al. Early results in patients with severe generalised ligamentous habjtual and aplasis of the trochlear groove.
Clinical photographs showing range of motion a Flexion of 90 degrees and b extension at left knee postoperatively. The etiology of quadriceps contracture in children. Discussion The causes of habitual patellar dislocation include contracture and fibrosis of the quadriceps femoris, vastus lateralis, and lateral retinaculum, abnormal iliotibial band attachment, repeated intramuscular injections into the thigh, patella alta due to the abnormal position of an elongated patellar tendon, systemic ligament laxity, dysplastic lateral femoral condyle, and genu valgum 2 – 4.
In habitual dislocation, where flexion of the knee was always associated with displacement of the patella, both lateral contractures and medial laxity were present. Published online Sep But dislocatiom vigorous quadriceps exercises, patient improved without any extensor lag.
Treatment of habitual dislocation of patella in an adult arthritic knee
The major intra-operative finding was contracture of the lateral patellar retinaculum with fibrotic bands in the superolateral aspect of patella. Habitual dislocation of patella is a condition where the patella dislocates whenever the knee is flexed and spontaneously relocates with extension of the knee.
Initially patient had extensor lag of 15 degrees as she was immobilized in flexion. Therefore, there was no indication for recentering the patella or lowering the tibial tubercle by osteotomy.
Habitual dislocation of patella: A review
This band had a rolled anterior border that sweeps forward to the patella rather than having its main attachment to the tibia. Total knee dispocation for gonarthrosis hzbitual patellar dislocation. CT scans of leg rotation showed physiological tibial torsion and femoral anteversion. Successful results require combination of these procedures, depending on clinical and intraoperative findings on an individual basis.
Clinically and radiologically Grade III Kellgren and Lawrence classification[ 8 ] tricompartmental degenerative knee arthritis was appreciated [ Figure 1 ]. There was a healed surgical scar over middle and lower third lateral aspect of the left thigh. Published by Elsevier B.
J Bone Joint Surg Br. Habitual patellar dislocation is a rare condition where the patella dislocates during flexion and relocates during extension unlike chronic patellar dislocation that occurs during both flexion and extension of the knee, and it usually presents without pain or swelling. Am Disslocation Sports Med.
We present a case of neglected iatrogenic habitual patellar dislocation with osteoarthritis in a year-old woman. This is an open access patell distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. These included either lateral retinacular release or proximal or distal realignment.