A non-contact complete knee dislocation with popliteal artery disruption, a rare martial arts injury

Viswanath, Y. K. S.; Rogers, Ian Munro

doi:10.1136/pgmj.75.887.552

Cited by 15 publications

(8 citation statements)

References 4 publications

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“…However, a series of peripheral vascular injuries due to falls by White et al 25 described only one of seven patients with documented knee dislocations (bilateral). Interesting reported causes of knee dislocations include trampoline injuries, 26 martial arts injuries, 27 and spontaneous knee dislocation in the morbidly obese. 28 Kennedy 7 used a stress machine in a cadaver model to investigate the mechanisms of knee dislocation and vascular injury.…”

Section: Mechanism Of Injurymentioning

confidence: 99%

Management of Arterial and Venous Injuries in the Dislocated Knee

Armstrong

Franklin

2001

Sports Medicine and Arthroscopy Review

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Vascular injury is present in 30% of dislocated knees and continues to account for significant morbidity. Popliteal artery injury results in a disproportionate number of amputations compared with other extremity arterial injuries. The vascular anatomy and mechanism of injury are reviewed here. A high index of suspicion and systematic evaluation for vascular injury associated with knee dislocation are required to ensure correct diagnosis. Early recognition of vascular injury, prompt restoration of flow, and use of proven adjuncts provides the optimal possibility of limb salvage of popliteal artery injuries associated with knee dislocations.

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Section: Mechanism Of Injurymentioning

confidence: 99%

Management of Arterial and Venous Injuries in the Dislocated Knee

Armstrong

Franklin

2001

Sports Medicine and Arthroscopy Review

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“…Die am häufigsten zitierten Ursachen für stumpfe Verletzungen der Arterien sind Luxationen groûer Gelenke. Dass solche schweren Verletzungen nicht nur bei Hochgeschwindigkeitstraumen, sondern auch bei Sportverletzungen auftreten, zeigt die Literatur [11,12,60,61]. Die Verletzung der A. cubitalis in unserem Krankengut nach einer Verletzung beim Hochsprung resultierte ebenfalls aus einer geschlossenen Ellenbogenluxationsfraktur.…”

Section: Diskussionunclassified

Die Besonderheit von Gefäßverletzungen nach Sportunfällen - eine seltene, aber ernst zu nehmende Komplikation

Böhm¹,

Rimpler²,

Anders³

et al. 2002

Zentralbl Chir

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There are about 1.5 million sports injuries in Germany every year, but concomitant vascular injuries are rarely encountered. Only single cases have been reported in the literature. The records of 216 patients with vascular injuries who were admitted to the university hospital in Jena between 1987 and 1996 were retrospectively reviewed. Six patients sustained a vascular injury during the accident in different kinds of sport. Vascular repair was successfully performed in three cases. Organ resection was necessary in two cases and one patient was treated conservatively. Most vascular lesions are related to blunt trauma which might create delayed symptoms of ischemia. Therefore measurement of limb pressures, Doppler scan, duplex ultrasonography and angiography are adjuncts in patients evaluation. In case of bleeding or complete ischemia the prompt arterial reconstruction is indicated and subsequently minimizes the risk of reperfusion injury.

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“…3 The association between knee dislocation and popliteal artery lesion may reach 60%. 2 Popliteal artery lesion is, among all types of artery lesions, responsible for the highest number of amputations. 1 In 10% of these lesions the patient may present with palpable distal pulses, 1 which may delay the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…1 In case of late diagnosis and revascularization, this rate may reach 80% of the cases. 2,4 Even in reference centers these lesions are complex and rare; thus, awareness at early diagnosis and adequate handling are fundamental in order to preserve the traumatized limb viability and function.…”

Section: Introductionmentioning

confidence: 99%

Trauma fechado de artéria poplítea com evolução atípica: relato de caso

et al. 2010

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Traumatic knee dislocation is associated with massive muscle damage. When there are neurovascular lesions, prognosis is even worse and the limb viability is threatened. Popliteal artery lesions should be treated as soon as possible to prevent risk of limb loss, which can reach up to 80% in some case series. We report a case of a young patient who had traumatic knee dislocation associated with ipsilateral acetabular and femoral body fractures with late diagnosis (on the fifth day after the trauma) of popliteal artery lesion. The patient underwent limb revascularization with good outcome despite the severity of the lesion, which is in disagreement with the usual outcomes reported in the literature for the popliteal artery trauma with delayed treatment. ResumoA luxação traumática do joelho está associada a extensos danos músculo-ligamentares. Quando lesões neurovasculares estão presentes, o prognóstico é agravado e a viabilidade da extremidade torna-se francamente ameaçada. Em caso de lesão arterial poplítea, a abordagem deve ser feita o quanto antes sob pena de perda do membro, que, em algumas séries, alcança 80%. Os autores relatam o caso de um paciente jovem vítima de luxação traumática do joelho esquerdo associada a fraturas do acetábulo e da diáfise do fêmur ipsilaterais, com diagnóstico tardio (no quinto dia pós-trauma) de lesão da artéria poplítea. O paciente foi submetido a revascularização do membro e teve evolução satisfatória apesar da gravidade da lesão vascular, contrariando a evolução encontrada na literatura do trauma de artéria poplítea tratado tardiamente.Palavras-chave: Joelho, luxação, trauma, artéria poplítea.

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A non-contact complete knee dislocation with popliteal artery disruption, a rare martial arts injury

Cited by 15 publications

References 4 publications

Management of Arterial and Venous Injuries in the Dislocated Knee

Management of Arterial and Venous Injuries in the Dislocated Knee

Die Besonderheit von Gefäßverletzungen nach Sportunfällen - eine seltene, aber ernst zu nehmende Komplikation

Trauma fechado de artéria poplítea com evolução atípica: relato de caso

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