Congenital Genu Recurvatum

2020 ◽  
Vol 7 (3) ◽  
pp. 87-88
Author(s):  
Dr. Abhijit Shinde ◽  
Dr. Sunil Natha Mhaske ◽  
Dr. Sonal Shinde
Keyword(s):  
Anterior Dislocation ◽  
Normal Vaginal Delivery ◽  
Normal Position ◽  
Baby Girl ◽  
Passive Stretching ◽  
Genu Recurvatum ◽  
Rare Malformation ◽  
Normal Shape ◽  
Term Baby

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.

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 ◽  
...  
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Early Recognition ◽  
Left Knee ◽  
Congenital Dislocation ◽  
Normal Position ◽  
Baby Girl ◽  
Medical College ◽  
Genu Recurvatum

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

scholarly journals A Case of Bilateral Permanent Subluxation of the Lateral Meniscus

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Jun Suganuma ◽  
Tadashi Sugiki ◽  
Yutaka Inoue
Keyword(s):  
Magnetic Resonance ◽  
Knee Joint ◽  
Lateral Meniscus ◽  
Detailed Examination ◽  
Magnetic Resonance Images ◽  
Posterior Segment ◽  
Anterior Dislocation ◽  
Normal Position ◽  
Straight Position ◽  
History Of

We report a case of bilateral, permanent subluxation of the lateral meniscus. To our knowledge, the present case is the first reported description of bilateral irreducible anterior dislocation of the posterior segment of the lateral meniscus. This disorder is characterized by a flipped meniscus sign of the lateral meniscus on sagittal magnetic resonance images of the knee joint, with no history of trauma or locking symptoms. A detailed examination of serial magnetic resonance images of the lateral meniscus can help differentiate this condition from malformation of the lateral meniscus, that is, a double-layered meniscus. We recommend two-stage treatment for this disorder. First, the knee joint is kept in straight position for 3 weeks after the lateral meniscus is reduced to the normal position. Second, if subluxation of the lateral meniscus recurs, meniscocapsular suture is then performed. Although subluxation of the lateral meniscus without locking symptoms is rare, it is important to be familiar with this condition to diagnose and treat it correctly.

scholarly journals Treatment of Hallux Valgus Deformity Using a Suture Button Device: A Preliminary Report

2018 ◽  
Vol 3 (4) ◽  
pp. 247301141880695
Author(s):  
Tyler A. Gonzalez ◽  
Jeremy T. Smith ◽  
Eric M. Bluman ◽  
Lauren V. Ready ◽  
William Ciurylo ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Hallux Valgus ◽  
Normal Position ◽  
Suture Button ◽  
Soft Tissue Procedure ◽  
Sf 36 ◽  
Second Metatarsal ◽  
Average Change ◽  
The Mean

Background: Hallux valgus (HV) is commonly treated with proximal or distal first metatarsal osteotomy. Despite good correction, these procedures have inherent risks such as malunion, nonunion, metatarsal shortening, loss of fixation, and avascular necrosis. Suture button fixation has been used for HV treatment. It avoids the risks of corrective osteotomies while maintaining reduction of the intermetatarsal angle (IMA). The goal of this study was to assess the radiographic and functional outcomes of patients undergoing HV correction with a distal soft tissue procedure and proximal suture button fixation. Methods: The authors retrospectively reviewed the charts and radiographs of 22 patients who had undergone HV correction using a distal soft tissue correction and proximal fixation with a miniature suture button device (Mini TightRope; Arthrex, Inc, Naples, FL). Mean follow-up was 27.7 months. The IMA, hallux valgus angle (HVA), and sesamoid station were measured on radiographs obtained preoperatively as well as in the immediate postoperative period and at final follow-up. Preoperative and postoperative Short Form-36 (SF-36) and Foot and Ankle Ability Measure (FAAM) scores were collected. Postoperative complications, and any additional operative procedures performed were also recorded. Results: The mean preoperative IMA and HVA were 16.9 and 32.6 degrees, respectively. The mean immediate postoperative IMA was 5.2 degrees ( P < .0001) and the mean HVA was 9.8 degrees ( P < .0001). At final follow-up, the mean IMA was 8.2 degrees ( P < .0001) and the mean HVA was 16.7 degrees ( P < .0001). The average change in HVA from preoperative to final follow-up was 16.0 degrees and the average change in IMA from preoperative to final follow-up was 8.6 degrees ( P < .0001). Sesamoid station assessment at the 2-week follow-up showed that 22 patients (100%) were in the normal position group; at final follow-up, 17 patients (77%) had normal position and 5 patients (23%) had displaced position. Although there were no clinically symptomatic recurrences, asymptomatic radiographic recurrence was noted in 5 patients (23%) who had a final HVA >20 degrees. All components of the FAAM and the SF-36 showed improvement from preoperative to final follow-up, although these changes were not statistically significant. Three patients experienced complications, including an intraoperative second metatarsal fracture, a postoperative second metatarsal stress fracture, and a postoperative deep vein thrombosis. Conclusion: The use of a distal soft tissue procedure in conjunction with proximal suture button fixation is a safe and effective procedure for treating symptomatic HV deformity. Our results show that this technique can correct the IMA, HVA, and sesamoid station without the need for osteotomy. Level of evidence: Level IV.

Reimplantation of an Inverted Maxillary Premolar: Case Report of a Multidiscplinary Treatment Approach

2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Rare Condition ◽  
Treatment Alternative ◽  
Normal Position ◽  
Sufficient Space ◽  
Viable Treatment

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

scholarly journals Recurrent anterior shoulder dislocation with glenoid fracture managed by modified Boytchev procedure: a rare case report

2019 ◽  
Vol 5 (5) ◽  
pp. 958
Author(s):  
Ashish Devgan ◽  
Umesh Yadav ◽  
Rajesh Rohilla ◽  
Pankaj Sharma ◽  
Varun Goel ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
Full Range ◽  
Anterior Dislocation ◽  
Bone Block ◽  
Anterior Shoulder Dislocation ◽  
Glenoid Fracture ◽  
Rare Case Report ◽  
Muscle Actions ◽  
Recurrent Anterior Dislocation

<p class="abstract">Surgical procedures for recurrent anterior dislocation of the shoulder include using capsuloligamentous or bone blocks to create barriers and active interventions using muscle actions. Fracture of glenoid acts as a barrier for bone block procedures. Boytchev procedure, though outmoded, yet acts as simple and effective procedure in this condition. Here we report a 44 year old male with recurrent anterior dislocation with glenoid fracture treated by Boytchev procedure. The patient is on regular follow up since 3 years with no episode of shoulder dislocation till now with full range of movements. To conclude, Boytchev procedure is technically simple and effective method in patients with recurrent anterior shoulder dislocation with fracture of glenoid.</p>

scholarly journals Transmigrated Mandibular Canine Guided into its Normal Position

2020 ◽  
Author(s):  
Itamar Antonio Taffarel ◽  
Ivan Pedro Taffarel ◽  
Gil Guilherme Gasparello ◽  
Matheus Melo Pithon ◽  
Orlando Motohiro Tanaka
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Aesthetic Outcome ◽  
Normal Position ◽  
Correct Position ◽  
Mandibular Canine ◽  
Treatment Complexity ◽  
Stable Result ◽  
Mandibular Incisors

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.

scholarly journals Treatment for Symptomatic Genu Recurvatum: A Systematic Review

2020 ◽  
Vol 8 (8) ◽  
pp. 232596712094411 ◽  
Author(s):  
Robert S. Dean ◽  
Nathan R. Graden ◽  
David H. Kahat ◽  
Nicholas N. DePhillipo ◽  
Robert F. LaPrade
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Treatment Options ◽  
Tibial Slope ◽  
Opening Wedge ◽  
Posterior Tibial ◽  
Knee Hyperextension ◽  
Genu Recurvatum ◽  
Subjective Outcomes

Background: Symptomatic genu recurvatum is a challenging condition to treat. Both osseous and soft tissue treatment options have been reported to address symptomatic genu recurvatum. Purpose/Hypothesis: The purpose of this article was to review the current literature on surgical treatment options for symptomatic genu recurvatum and to describe the associated clinical outcomes. We hypothesized that anterior opening-wedge proximal tibial osteotomy (PTO) would be the most common surgical technique described in the literature and that this intervention would allow for successful long-term management of symptomatic genu recurvatum. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, with the inclusion criterion of surgical treatment options for symptomatic genu recurvatum. Recurvatum secondary to polio, cerebrovascular accident, or cerebral palsy was excluded from this review. Results: A total of 311 studies were identified, of which 6 studies with a total of 80 patients met the inclusion criteria. Causes of genu recurvatum included physeal arrest; soft tissue laxity; and complications related to fractures, such as prolonged immobilization and malalignment. Mean follow-up times ranged from 1 to 14.5 years postoperatively. There were 5 studies that described anterior opening-wedge PTO, 2 of which used the Ilizarov distraction technique. All 3 studies that used PTO without the Ilizarov technique reported correction of recurvatum and increased posterior tibial slope; 2 of these studies also included subjective outcomes scores, reporting good or excellent outcomes in 70% (21/30) of patients. Of the studies that used the Ilizarov technique, both reported correction of recurvatum and increased posterior slope from preoperative to postoperative assessments. Both of these studies reported good or excellent subjective outcomes postoperatively in 89.5% (17/19) of patients. Additionally, 1 study successfully corrected recurvatum by performing a retensioning of the posterior capsule to address knee hyperextension, although follow-up was limited to 1 year postoperatively. Conclusion: Anterior opening-wedge PTO, with or without postoperative external fixation with progressive distraction, was found to be a reliable surgical treatment for symptomatic genu recurvatum. After surgical management with PTO, patients can expect to achieve correction of knee hyperextension, restoration of a more posterior tibial slope, and increased subjective outcome scores.

scholarly journals Surgical Outcomes In The Frequency, Etiology, Direction, Severity (feds) Classification System For Shoulder Instability

2020 ◽  
Vol 8 (3_suppl2) ◽  
pp. 2325967120S0012
Author(s):  
Justin A. Magnuson ◽  
Brian R. Wolf ◽  
Kevin J. Cronin ◽  
Cale A. Jacobs ◽  
Shannon Ortiz ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Surgical Outcomes ◽  
Anterior Dislocation ◽  
Failure Rates ◽  
Glenohumeral Instability ◽  
Initial Event ◽  
Common Category ◽  
Patient Reported ◽  
Type Of Failure

Objectives: The Frequency, Etiology, Direction, Severity (FEDS) system is a reliable and reproducible classification of glenohumeral instability. Frequency is defined as Solitary (1), Occasional (2-5), or Frequent (>5) episodes per year; etiology as Traumatic or Atraumatic; direction as Anterior, Posterior, or Inferior; and severity as a Subluxation or Dislocation. 36 total combinations are possible, named by the first letter of each variable in order. The purpose of this descriptive study was to investigate epidemiology, surgical outcomes, and failure using FEDS in patients undergoing surgery in a large multicenter cohort of prospectively enrolled patients. Methods: 1204 patients undergoing surgery were assigned to FEDS categories. Two-year follow-up at time of analysis was available for 629 patients (85.7% of those eligible based on date of surgery). Those categories consisting of at least 5% of patients were further analyzed by patient reported outcomes (PROs) and failure rates for a total of 466 patients. PROs included American Shoulder and Elbow Surgeons score (ASES), Western Ontario Shoulder Instability index (WOSI), and Single Assessment Numeric Evaluation (SANE). Failure benchmarks included rates of recurrent subluxation, dislocation, and revision surgery. Results: Sixteen categories represented at least one percent of patients. Occasional Traumatic Anterior Dislocation (OTAD) was the most common category with 16.4% of patients. Five other anterior categories (STAS, OTAS, FTAS, STAD, FTAD) and one posterior category (STPS) represented at least 5%. PROs and failure rates for anterior categories are summarized in Figure 1. PROs improved significantly for each category. A downward trend in WOSI and ASES was noted in particular with increasing frequency of the dislocation groups. The highest rates of each type of failure occurred in the occasional and frequent groups for both dislocation and subluxation. Low rates of failure occurred in STPS, with 17.9% reporting subluxation, 3.6% dislocation, and no revisions. Conclusion: While overall success was good, different FEDS categories showed varying degrees of improvement and failure rates, indicating that the system can be used to provide prognostic insight for presurgical education. Overall, outcomes for traumatic anterior instability decreased with higher initial frequency, showing worse PROs and higher failure. Frequency appeared to have the greatest effect on outcomes. Early surgical intervention may be beneficial in preventing progression to more severe FEDS categories, with higher frequency having previously been associated with both higher rates of bone loss and greater time between initial event and surgical stabilization.

scholarly journals Ligament Reconstruction for Recurrent Anterior Dislocation of the Radial Head

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Taku Hatta ◽  
Kiyotsugu Shinagawa ◽  
Kou Hayashi ◽  
Kazushige Hasegawa ◽  
Yoshinori Miyasaka ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radial Head ◽  
Ligament Reconstruction ◽  
Pathological Condition ◽  
Recurrent Dislocation ◽  
Anterior Dislocation ◽  
Annular Ligament ◽  
Internal Brace ◽  
Sports Activities

Isolated recurrent dislocation of the radial head (RH) is very rare, and there have been few reports describing the surgical treatment of this injury. We herein report the case of a 13-year-old girl who underwent ligament reconstruction surgery for isolated recurrent RH dislocation. Her symptoms included pain and apprehension at the elbow with the forearm in supination. A radiologic examination revealed anterior dislocation of the RH with the forearm in supination but complete reduction with the forearm in neutral to pronated positions. Surgical treatment to reconstruct the annular ligament and facilitate the radial collateral ligament was performed using an autograft with internal brace augmentation. At a 12-month follow-up examination, the patient had asymptomatic stability with recovery to sports activities. This case report describes a novel technique for the treatment of a rare pathological condition of the elbow.

The “Geriatric” NICU Patient

2002 ◽  
Vol 21 (6) ◽  
pp. 49-58
Author(s):  
Martha Wilson Jones ◽  
Jennifer McMurray ◽  
Donna Englestad
Keyword(s):  
Nursing Care ◽  
Medical Condition ◽  
Chronically Ill ◽  
Acute Stage ◽  
Chronic Medical Condition ◽  
Ventilator Dependence ◽  
Specialized Care ◽  
Term Baby ◽  
Spectrum Of Patients

AT ONE END OF THE NICU spectrum of patients is the acutely ill premature or term baby. This is the patient who requires the fast-paced and intellectually stimulating nursing care that often attracts NICU nurses to the specialty. At the other end of the spectrum is the chronically ill baby. This is the patient who is past the acute stage but is in the NICU for much longer than anyone expected because of a chronic medical condition. This category of infants includes those with chronic lung disease, tracheostomies with or without ventilator dependence, short-bowel syndrome, and other conditions that require continued specialized care. As they grow, these infants present with conditions that would normally be dealt with on a regular pediatric floor, in the pediatrician’s or primary care physician’s office, or in a neonatal follow-up clinic.

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