Traumatic patellar dislocation in a girl under 10 years‑old. Case report
DOI:
https://doi.org/10.1016/S0120-8845(15)30006-7Keywords:
dislocation, patella, child, evidence level: IVAbstract
Traumatic dislocation of the patella is a frequent event in some age groups, but is very uncommon in children and adolescents. It has an incidence of 4.3 per 100,000 inhabitants, but it has been reported to be as high as 5.8 per 100,000 inhabitants. Patellar femoral dislocation is the second cause of traumatic hemarthrosis of the knee, and has a strong association with sport activity in patients under 20 years-old. There are risk factors reported in the literature such as, genus valgus, higher femoral anteversion, ligaments hyper-laxity, etc., that may be associated or are present in 80% of the patients. The case is presented of patient under 10 years-old with a traumatic dislocation of the patella, as well as the surgical technique used to repair it, and a further review of the literature.
Downloads
References
Beasley LS, Vidal AF. Traumatic patellar dislocation in children and adolescents: treatment update and literature review. Curr Opin Pediatr. 2004;16:29-36. https://doi.org/10.1097/00008480-200402000-00007
Buchner M, Baudendistel B, Sabo D, et al. Acute traumatic primary patellar dislocation: long-term results comparing conservative and surgical treatment. Clin J Sport Med. 2005;15:62-6. https://doi.org/10.1097/01.jsm.0000157315.10756.14
Shea KG, Nilsson K, Belzer J. Patellar dislocation in skeletally immature athletes. Oper Tech Sports Med. 2006;14:188-96. https://doi.org/10.1053/j.otsm.2006.08.001
Garth WP Jr, Connor GS, Futch L, et al. Patellar subluxation at terminal knee extension: isolated deÞ ciency of the medial patellomeniscal ligament. J Bone Joint Surg Am. 2011;93: 954-62. https://doi.org/10.2106/JBJS.H.00103
Palmu S, Kallio PE, Donell ST, et al. Acute patellar dislocation in children and adolescents: a randomized clinical trial. J Bone Joint Surg Am. 2008;90:463-70. https://doi.org/10.2106/JBJS.G.00072
Seeley M, Bowman KF, Walsh C, et al. Magnetic resonance imaging of acute patellar dislocation in children: patterns of injury and risk factors for recurrence. J Pediatr Orthop. 2012;32:145-55. https://doi.org/10.1097/BPO.0b013e3182471ac2
Felus J, Kowalczyk B, Lejman T. Sonographic evaluation of the injuries after traumatic patellar dislocation in adolescents. J Pediatr Orthop. 2008;28:397-402. https://doi.org/10.1097/BPO.0b013e318173f795
Garth WP Jr, Connor GS, Futch L, et al. Patellar subluxation at terminal knee extension: isolated deÞ ciency of the medial patellomeniscal ligament. J Bone Joint Surg Am. 2011;93: 954-62. https://doi.org/10.2106/JBJS.H.00103
Thévenin-Lemoine C, Ferrand M, Courvoisier A, et al. Is the Caton-Deschamps index a valuable ratio to investigate patellar height in children? J Bone Joint Surg Am. 2011;93:e35. https://doi.org/10.2106/JBJS.J.00759
Nietosvaara Y, Paukku R, Palmu S, et al. Acute patellar dislocation in children and adolescents. Surgical technique. J Bone Joint Surg Am. 2009;91 Suppl 2 Pt 1:139-45. https://doi.org/10.2106/JBJS.H.01289
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Colombiana de ortopedia y traumatología
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
