12:26,15,Nov,2005 | (751/0/0) | Original

congenital dislocation of the knee


wa *** Question: congenital knee recurvatum, and his exchange of dislocation 1 #
Illnesses:
Congenital knee recurvatum, dislocation
Description disease (onset time, major symptoms, visiting hospitals, etc.):
Hello, doctor, my cousin just gave birth to a son, the fourth day today, after the discovery of congenital malformations born, and then went to the hospital in Yancheng X-ray, the following is written in the hospital situation: X ray findings, Various pelvic bone bone integrity, cortical continuity, clear trabecular bone, and bilateral sacroiliac joint, hip joint symmetry, joint space had no obvious abnormalities. Both knees showed no abnormal bone composition of bone and joint structure disorders: forward displacement of the proximal tibia, knee recurvatum. X ray image: the pelvic bone no obvious abnormalities. Double knee deformity (knee pick, knee hyperextension) to check the name: hip joint axial (left), anteroposterior knee (left), lateral knee (left). Such is the case the specific check, and to trouble the doctor to help your busy schedule to answer our look, extremely grateful to the family really do not know how to do.
And effectiveness of treatment was:
Time to see just born with congenital recurvatum of knee, dislocation, X to shoot films in Yancheng, the specific situation described above is
How do want to help:
Should like to know specifically how to do this?
When treatment is best?
Can be completely cured?
Posted at 2010-10-22 15:05:55 House, Doctor jumped back: congenital knee recurvatum, dislocation 2 #, Nanjing Medical University, Nanjing Children's Hospital Professor of Orthopaedics Chief Physician
Children of congenital knee dislocation, this deformity is rare, the sooner the better treatment is recommended orthopedic next week, bring their children to our hospital for treatment, if look at my clinic, advance booking, reservation Tel :025 -83201940. I am every Wednesday, the five expert consultation in the outpatient center Zuozhen tenth floor. Nanjing Medical University, Nanjing Children's Hospital orthopedic floor jump
I jump Dr. House Posted at 2010-10-22 23:35:14 wa *** Question: congenital knee recurvatum, 3 #, and his exchange of dislocation
House Doctor, hello, I want to know about how much cost, as well as a great chance to cure it?
Posted at 2010-10-23 19:25:37 House, Doctor jumped back: congenital recurvatum of knee, dislocation of the 4 #, Nanjing Medical University, Nanjing Children's Hospital Professor of Orthopaedics Chief Physician
Children first need to check the knee evaluated before a treatment plan, so the cost of a bad estimate. But should not be expensive, sometimes even once in the outpatient guidance on the line. Nanjing Medical University, Nanjing Children's Hospital orthopedic floor jump
I jump Dr. House Posted at 2010-10-23 23:36:43 wa *** Question: congenital knee recurvatum, and his exchange of dislocation 5 #
House Doctor, hello, my cousin
has deliberately been your hospital, but not you see, is the other doctors to see, he let us come back, that child is still small, not too jaundice period, so a few months again, or let us go directly to Shanghai Xinhua Hospital. When did you see in the end is the best ah? Really do not know how to do, pointing to the point of trouble building a doctor.
Posted at 2010-10-26 20:54:13 House, Doctor jumped back: congenital recurvatum of knee, dislocation of the 6 #, Nanjing Children's Hospital of Nanjing Medical University, Professor, MD, director of orthopedics
Photographs and X films I have seen, more specific diagnosis of congenital dislocation of the knee, it is recommended 2 times a day from now repeated buckling of the knee, more than half an hour each time, the full moon cast was ready to hit the hospital. Nanjing Medical University, Nanjing Children's Hospital orthopedic floor jump
Building jump Posted at 2010-10-26 22:29:56 my doctor
congenital dislocation of the knee

How should the treatment of congenital dislocation of the knee?
(A) treatment
1. Conservative treatment for newborns and infants with mild dislocation or subluxation, can brace or cast treatment of knee flexion to maintain continuous fixed a year or so, young children, skeletal traction can be relaxed with the soft tissue contracture, then using the brace or cast immobilization.
2. Surgical treatment
(1) soft tissue release technique:
â‘  Indications: younger than 2 years old, lesser lesions.
â‘¡ surgical methods: via the front of the incision reveal quadriceps, patella and patellar ligament,
Congenital dislocation of the knee worries 4 (content expertise) to edit entries summary
There is no summary of the contents of the directory welcome to add the edit summary - [hide] 1 2 congenital knee dislocation caused by the reasons which the performance of 3 and 4, how to diagnose what should be done to check the 5 should be treated Edit this paragraph | Back to the top of the congenital knee dislocation
Congenital knee dislocation and subluxation (congenital dislocation and subluxation of the knee) is a serious knee hyperextension. More women of this disease for men 2 to 8 times. More than half of cases complicated by other congenital malformations. Most patients had no familial genetic predisposition, Provenzano in 200 patients with knee dislocation found in 7 cases of patients with positive family history, and the majority of patients with Larsen syndrome, merger hand, foot deformities and other large joint dislocation.
Edit this section | Back to the top is what causes
(A) etiology
Etiology of the disease vary, and some that are degraded in the womb or the fetus of the quadriceps muscle malnutrition; Some believe that the abnormal position was due to the knee.
(B) of the pathogenesis
Patients with congenital dislocation of the knee is often associated with physical epiphyseal dysplasia, accompanied by the front of the knee joint capsule and quadriceps contracture occurs; may appear stunted or absent patella, vastus lateralis muscle with fibrosis, etc.; patella lateral shift, iliotibial band and vastus lateralis muscle interstitial thickening; knee ligament mutation or absent. Edit this section | Back to top What are the performance and how to diagnose
Patients with knee hyperextension, knee flexion is limited, quadriceps contracture tension was like, tight iliotibial band, knee patella moved more lateral femoral tibial plateau in front of the whole was subluxation or dislocation.
Based on clinical manifestations and X-ray findings can be diagnosed. Edit this section | Back to the top of the examination should do what
Congenital dislocation of the knee X-ray findings (Figure 1).
Tibia and femur, the lateral condyle dysplasia, patella femoral condyle to the lateral shift; visible on lateral radiographs before the top of the tibia to the femur displacement, severe loss of normal relationship between tibiofemoral joint morphology. Edit this section | Back to the top should be how to treat
(A) treatment
1. Conservative treatment for newborns and infants with mild dislocation or subluxation, can brace or cast treatment of knee flexion to maintain continuous fixed about 1 year. Young children, skeletal traction can be relaxed with the soft tissue contracture, and then used the brace or cast immobilization.
2. Surgical treatment
(1) soft tissue release technique:
â‘  Indications: younger than 2 years old, lesser lesions.
② surgical methods: via the front of the incision reveal quadriceps, patella and patellar tendon, "z"-shaped extension of the quadriceps tendon, cutting off the knee adhesion organization, the articular capsule side of the cut, so that the knee as much as possible flexion of 90 °. Cast immobilization for 8 weeks (Figure 2). If the joint morphology abnormalities, deformities can not be corrected, soft tissue release after the activity is still limited, which can be distal femur or proximal tibial osteotomy, the osteotomy site selection decisions in the femoral or tibial deformity severity. Then, however, the plaster or stretch knee brace to keep the position fixed at least 1 year.
(2) Curtis and Fisher surgery:
â‘  Indications: This operation for over 3 years old who complete luxation of the knee.
â‘¡ surgical methods: the inside of the thigh to the femoral lesser trochanter, tibial tuberosity down to expose the front of the thigh muscles, quadriceps on the patella at the top will do inverted
"V" shaped or "Z"-shaped extension. Transverse incision in front of the knee joint capsule, extending back to the medial and lateral collateral ligament, lateral part of the patellar tendon release, the patella moved to the intercondylar fossa of the normal position. If the iliotibial tract and lateral collateral ligament strain, also do "Z"-shaped lengthening. Subject to the long axis of the femur, the patella returned to normal, and then stitched to extend the quadriceps, etc., to keep the knee in 30 ° flexion position, with a long leg plaster cast fixation. 6 weeks after removal of plaster, start automatically with the passive approach of combining exercise; 10 to 12 weeks to start loading; older children, need to insist on bracket about 1 year (Figure 3).
(B) prognosis
No relevant information. Edit entry Open Category:
Term evaluation of disease: participation in evaluating the authority of a total of 0 0% 0% rich professional good 0% 0% 0% I have to evaluate the poor:
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