Surgical repair of PTR with reinforcement and an early rehabilitation program demonstrate good results after a long follow-up. However, chronic PTR may need longer or a different rehabilitation protocol of the knee-extensor apparatus.
HighlightsThe unilateral form of lipoma Arborescens affecting the knee is the most common, with a predilection for supra patellar recess.The clinical examination finds symptoms of chronicity, such as progressive soft swelling, pain, stiffness and episodes of joint blockage.MRI is the examination of choice showing multiple villous proliferation of the synovial and frond-like structures with a fatty signal.Treatment with intra-articular injections of radioactive compounds, such as Yttrium 90 or steroids, relieves symptoms during moderate periods.Early synovectomy offers the best functional outcome.
Introduction
Traumatic dislocation of the knee is a rare and severe injury, often caused by a severe trauma. Neglected knee dislocations are much more uncommon and treatment options are not clearly described.
Presentation of case
We reported the case of a 26-year-old man with two years neglected knee dislocation which was managed with open reduction and stabilization with external fixation and intra-articular Steinman pins for six weeks.
Discussion and conclusion
Knee dislocations are rare injuries that can be underestimated during the emergency assessment, particularly in the absence of neurovascular injuries, which usually lead to surgical treatment, or the presence of severe trauma that disguises dislocation as the case for our patient. Only a high clinical suspicion can avoid neglecting the more severe joint injury.
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