SUMMARY
Introduction. Traumatic knee dislocation is a serious lesion which represents an orthopaedic emergency. It is a rare condition that requires appropriate diagnosis – therapeutic iter.
Case report. A 63 year old male was admitted to the emergency department after an agricultural vehicle accident in which his lower limbs were caught in a tractor. Clinical examination showed bilateral exposed knee dislocation. In addition there emerged right hip dislocation and composed acetabular fracture. There were no vascular arteries injuries, whilst there emerged an external popliteal sciatic nerve palsy to the left site. We performed the reduction manoeuvre revealing bilateral joint instability. For this reason the stabilization was made by external fixators. Due to right knee severe valgus instability, we performed medial collateral ligament reconstruction by intraosseous suture anchor using Leeds-Keio artificial implant after 1 month.
Conclusions. In our case, due to the involvement of three major joints and nerve palsy, we had to perform the reduction manoeuvre, exploration and suture of peroneal nerve and stabilization by the external fixator. The opportuneness of ligament reconstruction may be evaluated at a second step in relation to functional expectancy and skin condition of the donor site.
Traumatic Dislocation of Three Major Joints in the Lower Limb: Management and Outcome
G. Maccagnano, A. Notarnicola, G. Sammarco, L. Scialpi, B. Moretti
Case Report, 146-150
Keywords: hip dislocation, instability, Knee dislocation, nerve palsy,
Table of Content: Vol. 10 (No. 1) 2020 January/March
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Thanks to the reviewers
Acknowledgments, 0 -
Chronic Distal Triceps Brachii Tendon Ruptures. A Systematic Review of Surgical Procedures and Outcomes
F. Oliva, F. F. Sesti, M. Gasparini, L. PanarellaReview, 1-10 -
Menstrual Cycle does not Affect the Mechanical Properties of Muscle and Tendon
S. Taş, D. AktaşOriginal Article, 11-16 -
Effect of Fascial Manipulation on Glenohumeral Internal Rotation Deficit in Overhead Athletes A Randomized Controlled Trial
Nelson P Mathew, Prabu Raja G, F. DavisOriginal Article, 17-23 -
The Effectiveness of Physiotherapy in Idiopathic or Primary Frozen Shoulder: a Systematic Review and Meta-Analysis
E. Cavalleri, A. Servadio, A. Berardi, M. Tofani, G. GaleotoReview, 24-39 -
Effectiveness of Radial Shockwave Therapy in Calcific and Non-Calcific Tendinopathy of the Shoulder: a Systematic Review and Meta-Analysis
A. Ammendolia, N. Marotta, A. Demeco, C. Marinaro, L. Moggio, M. Barletta, C. CostantinoReview, 40-47 -
Concentrated Bone Marrow Aspirate and Subacromial Bursa-Derived Cells Demonstrate Similar Cellular Adhesion and Proliferation Potential on Demineralized Bone Matrix Scaffolds for Biologic Augmentation of Rotator Cuff Repair
L. N. Muench, D. P. Berthold, C. Kia, A. Lebaschi, M. P. Cote, M. B. McCarthy, A. D. MazzoccaOriginal Article, 48-56 -
Research proposal of a new clinic model for the interpretation of Lateral Elbow Pain: is it time to change?
L. Di Filippo, D. Pennella, F. Maselli, P. ArrigoniOriginal Article, 57-66 -
Distal Thigh Compression Garment Improves Female Athlete Knee Control and Sports Movement Safety Perceptions
D. Boschert, J. Nyland, J. Matsuno, S. Pletz, W. PolioOriginal Article, 67-77 -
Bone-patellar Tendon-bone Versus Four Strands Hamstring Grafts for Anterior Cruciate Ligament Reconstruction
F. Migliorini, J. Eschweiler, M. Tingart, M. Niewiera, B. RathOriginal Article, 78-85 -
Investigation of the Contraction Ratio of Transversus Abdominis and Internal Oblique Muscles during Lumbopelvic Stability Test
P. Sitilertpisan, L. Joseph, A. Paungmali, U. Pirunsan , T. ChunchaiOriginal Article, 86-91 -
Effect of a 12-week Eccentric and Isometric Training in Achilles Tendinopathy on the Gastrocnemius Muscle: an Ultrasound Shear Wave Elastography Study
M. Gatz, M. Betsch, M. Tingart, R. Michalik, F. Migliorini, T. Dirrichs, C. Kuhl, V. QuackOriginal Article, 92-99 -
Quantitative Weight Bearing and non-weight Bearing Measures of Stiffness in the Achilles Tendon and Gastrocnemius Muscle
G. Ericson Morgan, R. Martin, H. Welch, K. MorrisOriginal Article, 100-110 -
Descriptive Study on Distalmost Perforating Peroneal Artery Emphasizing Its Role in Flap Surgeries
R. Rai, M. Tonse, A. R. Rai, P. M. Dass, J. P. JanardhananOriginal Article, 111-118 -
The Posterior Lateral Femoral Contusion Sign (Aamer Botchu Sign): an Ancillary Sign of MCL Injury
A. Iqbal, E. McLoughlin, D. Beale, SL. James , R. BotchuOriginal Article, 119-123 -
Topographic Localization of Nerve to Masseter Muscle to determine the Primary Nerve- Muscle Relation, an Aid to Facial Sculpting Techniques
A. Ganapathy, V. Kumar, V. Prathapamchandra, JP Jessy, N. Rani, S. Kaler, S. SinghOriginal Article, 124-129 -
Mid Term Effects of a Single Injection versus Three Injections of Hyaluronic Acid in Patients with Rhizarthrosis
D. Perugia, R. M. Lanzetti, M. Vetrano Santoboni, M. C. VulpianiOriginal Article, 130-137 -
Morphological and Topographic Anatomy of Sesamoid Bones of Human Thumb
R. Abisshek Balaji, Apoorva, V. V. Katti, M. M. Pai, B. V. Murlimanju, L. V. PrabhuOriginal Article, 138-143 -
Saving Resources in Accident Emergency: a Simple Device for Injuries to the Extensor Tendons of the Hand
A. Oliviero, G. Criscuolo, F. Oliva, N. MaffulliOriginal Article, 144-145 -
Traumatic Dislocation of Three Major Joints in the Lower Limb: Management and Outcome
G. Maccagnano, A. Notarnicola, G. Sammarco, L. Scialpi, B. MorettiCase Report, 146-150 -
Defensive Antibacterial Coating (DAC ® ) for prevention of infection in ACL reconstruction: a feasibility study
R. Aicale, F. Oliva, N. MaffulliOriginal Article, 151-153