Orthopedic aspects of collagen disorders

Abstract

Heightened awareness of subtle hypermobility or symptomatic joint laxity on physical examination facilitates optimal management and favorable outcomes in children with this condition.

Revision pediatric anterior cruciate ligament reconstruction after failure of iliotibial band technique treated with all-epiphyseal technique in a prepubescent with Ehlers–Danlos syndrome: a case report

“…Type IV EDS, although not documented to be specifically associated with congenital bilateral ACL insufficiency, manifests clinically with notable joint laxity [43]. Our patient was diagnosed with type IV EDS, reported events of pain and instability, and was identified as having ACL insufficiency through MRI.…”

“…EDS is a condition in which patients will frequently present with musculoskeletal complaints, notable joint laxity, and tendon rupture [43]. Orthopedic consults are quite frequent in patients with collagen disorders, given their intrinsic joint hypermobility.…”

“…Orthopedic consults are quite frequent in patients with collagen disorders, given their intrinsic joint hypermobility. A recent emphasis has been placed on having a high index of suspicion for these diseases in physical examination findings that may not correlate with the severity or mechanism of injury reported in the history [43,44]. Despite the relatively high volume of these patients in orthopedic clinics and the suspect material properties of their soft tissues, at the time that this manuscript was prepared, there was no literature addressing the surgical consideration and graft selection in this unique patient population.…”

Fracturas por avulsión bilateral de tuberosidades tibiales en un adolescente, reinserción y protección con banda de tensión: reporte de un caso

“…www.medigraphic.org.mx cumplir con criterios de Beighton-Horan, se descarta cualquier alteración de la colágena. 22,23 Los tornillos canulados con colocación de aparato de yeso por tres a seis semanas son el tratamiento más utilizado. Sin embargo, Ergün y colaboradores obtuvieron limitación de los arcos de movilidad, 6 Slobogean y su equipo describen deformidad de rodilla con 5 o de flexión, 11 Newman y su grupo disminución de la masa muscular del cuádriceps con limitación de los arcos de movilidad, 5 por lo que en este caso decidimos colocar tornillos de esponjosa con uso de bandas de tensión como protección y movilización activa en el postquirúrgico inmediato, ya que la inmovilidad de la rodilla provoca aumento del factor de crecimiento fibroblástico B1 que da proliferación patológica de fibroblastos, formando tejido conectivo en exceso y liberación de citocinas, con mayor inflamación.…”