scholarly journals Congenital genu recurvatum with dislocation of knee: A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 68-70
Author(s):  
Rosan Prasad Shah Kalawar ◽  
Shipra Chaudhary ◽  
Abul Kalam ◽  
Prakash Sitoula ◽  
Ranjiv Jha ◽  
...  

A baby girl was born with severe deformity of left knee. Clinically and radiologically she was diagnosed as congenital dislocation of left knee. Gentle manipulation followed by above knee POP slab corrected the deformity in three weeks. A follow up at the age of 6 months showed normal position and range of motion of the knee. We are reporting this case for its rarity. Early recognition requires simple intervention only.DOI: http://dx.doi.org/10.3126/jonmc.v1i1.7291 Journal of Nobel Medical College Vol.1(1) 2011 68-70

2020 ◽  
Vol 7 (3) ◽  
pp. 87-88
Author(s):  
Dr. Abhijit Shinde ◽  
Dr. Sunil Natha Mhaske ◽  
Dr. Sonal Shinde

Congenital genu recurvatum is a rare malformation characterized by hyperextension of the knee and marked limitation of flexion1. We report a case of a newborn baby with hyperextension of right knee joint and anterior dislocation of tibia on femur. A full term baby girl born by normal vaginal delivery, presented with extreme hyperextension of right knee. Right knee was straightened passively. There were no associated anomalies. Radiograph revealed anterior dislocation of tibia on femur. Both hips were normal. Gentle manipulation followed by above knee slab was used on the first day of life. The slab was removed in three weeks. In three weeks, the knee adopted a normal shape. The slab was discontinued and the mother was advised to continue passive stretching. A follow up at the age of one month showed normal position of the knee.


2012 ◽  
Vol 32 (1) ◽  
pp. 85-87 ◽  
Author(s):  
N Mitra ◽  
Dr Narayanswamy Kannan ◽  
VS Kumar ◽  
G Kavita

Larsen syndrome was first described in 1950 by Larsen, Schottstaedt and Bost. This rare inherited disorder is characterized by congenital dislocation of multiple joints along with other anomalies of heart, face, hands and bones. Awareness of this condition and assosciated complications helps in better follow up and management of these patients. Key words: Genu recurvatum; Short stature; Hypodontia; Bifid uvula; Submucosal cleft palate; Cardiac anomaly DOI: http://dx.doi.org/10.3126/jnps.v32i1.5349   J. Nepal Paediatr. Soc. Vol.32(1) 2012 85-87


2021 ◽  
pp. 42-44
Author(s):  
Amol K Salve ◽  
Vinod Kumar Yadav ◽  
Ajay M Wankhade ◽  
Tanay Nahatkar ◽  
Sangam Jain

Intro- For TKA, there are two types of bearing designs: xed-bearing and mobile-bearing. Round femoral components articulate with a relatively at tibial articular surface in a xed-bearing knee design. Because the insert does not hinder the natural movements of the femoral component, the mobile-bearing (MB) TKA design is thought to allow more exibility of motion than the xed-bearing (FB) variety. Aim and objective: To compare xed bearing and mobile bearing total knee arthroplasty. Material and methods:This study is a prospective type of study done at Seth GS medical college Mumbai, Department of Orthopaedics during August 2019 to June 2021 on patients undergoing total knee arthroplasty. Patients who were to undergo total knee arthroplasty were invited to take part in the study. This study, done on them was explained in detail to them. An informed consent was obtained. Patients fullling the inclusion criteria were listed. Result: Range of motion achieved after mobile arthroplasty was 123.62±2.94 and in xed arthroplasty it was 121.96±2.74. Pain after last follow up in mobile arthroplasty was 48.83±0.62 and for xed arthroplasty was 47.39±0.86. Flexion gap after last follow up in mobile arthroplasty was 24.13±0.45 and in xed was 24.02±0.45. Stability was almost similar in both mobile and xed arthroplasty. Conclusions: there is no signicant difference between xed arthroplasty and mobile arthroplasty as far as Range of motion, Pain ,Flexion gap. Stability was almost similar in both mobile and xed arthroplasty.


2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli

Inversion of premolars is an extremely rare condition, which usually requires extraction. This case report describes the inversion of an impacted maxillary second premolar in an 11-year-old male, and the multidisciplinary treatment approach for bringing the tooth into a normal position within the arch. In order to provide sufficient space for surgical reimplantation of the tooth, the mesially-drifted neighbouring maxillary first molar was first endodontically treated, followed by orthodontic distalization of the tooth. The inverted tooth was removed surgically and reimplanted without the use of splints for stabilization. After a 12-month follow-up period, the tooth maintained its vitality without any root resorption. Reimplantation of impacted inverted premolars can be a viable treatment alternative to extraction


Author(s):  
Itamar Antonio Taffarel ◽  
Ivan Pedro Taffarel ◽  
Gil Guilherme Gasparello ◽  
Matheus Melo Pithon ◽  
Orlando Motohiro Tanaka

Transmigrated mandibular canines increase treatment complexity in terms of both anchorage and biomechanical planning, posing challenges for both Orthodontists and Oral Surgeons. This case report presents the orthodontic treatment in a 12-year-old girl patient, with transmigrated and impacted mandibular right canine positioned horizontally below the apices of the mandibular incisors. The mandibular deciduous right canine was extracted followed by the traction of the transmigrated permanent canine. Eruption was properly guided, and the correct position of the tooth was orthodontically guided into its normal position in the arch. The patient’s occlusion was significantly improved with good aesthetic outcome, functional occlusion, and a stable result after 1.5 years of follow-up.


Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP166-NP169 ◽  
Author(s):  
Michael T. Edgerton ◽  
Robert C. Kollmorgen

Background: Triangular fibrocartilage complex (TFCC) injuries are a known cause of ulnar-sided wrist pain. Wrist arthroscopy is the gold standard for diagnosis of these lesions and is becoming a more frequent method of treatment. Isolated radial-sided tears are uncommon and treatment of these lesions is controversial. There are few reports on repair techniques. Here we report on a novel arthroscopic, all-inside technique for traumatic radial-sided TFCC tears that resulted in full range of motion, significant improvement in pain, and ultimately return to sport. Methods: This is a single case report describing an all-inside, arthroscopic repair of a radial-sided TFCC tear. The techniques and postoperative protocol are discussed. Clinical outcomes were reported at final follow-up of 3.5 months. Results: At final follow-up, our patient had full wrist range of motion, 95% strength, occasional 1/10 pain, and returned to sport at her previous level of play. There were no complications. Conclusion: Although just a single case report, our patient had an excellent result based on modified Mayo wrist score. When comparing our result and the previous literature, this technique seems to be a valid method for addressing radial-sided TFCC tears.


2021 ◽  
Vol 2 (5) ◽  
pp. 246-248
Author(s):  
Sam Ontiveros ◽  
Alicia Minns

Introduction: Aseptic inflammatory arthritis has been reported from thorns or cactus needles after inadvertent arthrotomy. Agave sap irritants may cause an aseptic inflammatory arthritis mimicking a septic joint. Case Report: A 27-year-old male presented with left knee pain and swelling two hours after suffering an accidental stab wound to his left lateral knee by an agave plant spine. Synovial fluid white blood cell count was 92,730 mm3 with 75% neutrophils and no crystals. Surgical washout was remarkable for turbid fluid and no foreign body. Synovial fluid and blood cultures remained without growth. At two-week follow-up, the patient had recovered. Conclusion: Penetrating injuries from agave thorns can cause an inflammatory arthritis that mimics septic arthritis.


Author(s):  
C Lucero ◽  
F Díaz-Dilernia ◽  
F Comba ◽  
G Zanotti ◽  
F Piccaluga ◽  
...  

Case We present a case of a 70-year-old woman with simultaneous periprosthetic joint infection (PJI) of both hips and left knee due to a bilateral psoas abscess. The patient underwent debridement and implants removal with the consequent reimplantation in a sequential six-stage revision surgery. At four years of follow-up and in spite of the patient’s comorbidities and current PJI presentation, she maintains full activities of daily living without restrictions. Conclusion Accurate and early diagnosis of a psoas abscess is crucial. This case report provides experience of a complex scenario, the decision-making involved and the outcomes of an underdiagnosed complication.


2000 ◽  
Vol 80 (12) ◽  
pp. 1204-1213 ◽  
Author(s):  
Henricus M Vermeulen ◽  
Wim R Obermann ◽  
Bart J Burger ◽  
Gea J Kok ◽  
Piet M Rozing ◽  
...  

Abstract Background and Purpose. The purpose of this case report is to describe the use of end-range mobilization techniques in the management of patients with adhesive capsulitis. Case Description. Four men and 3 women (mean age=50.2 years, SD=6.0, range=41–65) with adhesive capsulitis of the glenohumeral joint (mean disease duration=8.4 months, SD=3.3, range= 3–12) were treated with end-range mobilization techniques, twice a week for 3 months. Indexes of pain, joint mobility, and function were measured by the same observer before treatment, after 3 months of treatment, and at the time of a 9-month follow-up. In addition, arthrographic assessment of joint capacity (ie, the amount of fluid the joint can contain) and measurement of range of motion of glenohumeral abduction on a plain radiograph were conducted initially and after 3 months of treatment. Outcomes. After 3 months of treatment, there were increases in active range of motion. Mean abduction increased from 91 degrees (SD=16, range=70–120) to 151 degrees (SD=22, range=110–170), mean flexion in the sagittal plane increased from 113 degrees (SD=17, range=90–145) to 147 degrees (SD=18, range=115–175), and mean lateral rotation increased from 13 degrees (SD=13, range=0–40) to 31 degrees (SD=11, range=15–50). There were also increases in passive range of motion: Mean abduction increased from 96 degrees (SD=18, range=70–125) to 159 degrees (SD=24, range 110–180), mean flexion in the sagittal plane increased from 120 degrees (SD=16, range=95–145) to 154 degrees (SD=19, range=120–180), and mean lateral rotation increased from 21 degrees (SD=11, range=10–45) to 41 degrees (SD=8, range=35–55). The mean capacity of the glenohumeral joint capsule (its ability to contain fluid) increased from 10 cc (SD=3, range=6–15) to 15 cc (SD=3, range=10–20). Four patients rated their improvement in shoulder function as excellent, 2 patients rated it as good, and 1 patient rated it as moderate. All patients maintained their gain in joint mobility at the 9-month follow-up. Discussion. There seems to be a role for intensive mobilization techniques in the treatment of adhesive capsulitis. Controlled studies regarding the effectiveness of end-range mobilization techniques in the treatment of adhesive capsulitis are warranted.


2003 ◽  
Vol 24 (4) ◽  
pp. 368-371 ◽  
Author(s):  
Rhys H. Thomas ◽  
Timothy R. Daniels

For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contractures and severe comminution. A primary talonavicular and subtalar arthrodesis with the use of iliac crest bone graft was performed. Postoperative follow-up at 16 months demonstrated solid fusions, no avascular necrosis of the talus and a functional range of motion at the ankle. He was not capable of returning to his job of roof maintenance.


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