Bilateral Congenital Dislocation of the Knee

Hirade, Tomohiro; Katsube, Kousuke; Kato, Fumihide

doi:10.1016/j.jpeds.2020.10.003

Cited by 3 publications

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References 3 publications

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“…Other authors confirmed the frequent correlation with these syndromic conditions. 7,10,[12][13][14] Congenital and Bilateral Dislocation of the Knee: Case Report and Review of Literature Orthopedic Reviews tracture of the quadriceps. [15][16][17][18] Haga et al 19 also suggest that external factors such as oligohydramnios, breech position or intrauterine constraint may contribute to develop the dislocation of the knee.…”

Section: Discussionmentioning

confidence: 99%

Congenital and Bilateral Dislocation of the Knee: Case Report and Review of Literature

et al. 2022

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Background Congenital and bilateral dislocation of the knee is an uncommon disorder; it may be isolated or combined with other congenital muscoloskeletal disorders, associated with neurologic disorders or occur in syndromic conditions. The knee presents a typical pathologic hyperextension, with or without joint dislocation. If untreated, the knee may develop stiffness or instability. Case Summary We report about a new-born baby girl presented at birth with an unusual position of both lower limbs with obvious hyperextended knees. Starting from the first hours of life, this baby was treated conservatively with reduction and serial cast immobilizations of the limbs. At the end of the treatment (21 days of life), the knees appeared completely corrected with physiologic active and passive range of motion and joint stability, and they were left free. Conclusion A correct evaluation at birth, both of the newborn and the deformity, is mandatory in order to decide the proper treatment, that could be conservative or surgical. A prompt treatment can be very effective to completely resolve the problem.

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Section: Discussionmentioning

confidence: 99%

Congenital and Bilateral Dislocation of the Knee: Case Report and Review of Literature

et al. 2022

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“…[11] Oligohydramnios can affect the baby's position. [12] Although breech delivery is frequently seen in these patients, it cannot be considered to be the single cause of the disease. [11] Although no etiological factor was found, our case was in the breech presentation position for up to 30 weeks.…”

Section: Discussionmentioning

confidence: 99%

Neglected intrauterine bilateral congenital knee dislocation

Çıraklı

2021

Jt Dis Relat Surg

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Bilateral congenital knee dislocation is a rare deformity which may present with other musculoskeletal abnormalities. In the early period, conservative treatment options have a high chance of success. However, in later stages, surgical treatment is indicated in neglected or unresponsive cases to manipulation in the early period. Herein, we present a rare case of bilateral congenital knee dislocation which was diagnosed after birth. Retrospective examination revealed that it occurred in the antenatal period and neglected.

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“…This condition is characterized by contracture of the extensor mechanism of the quadriceps and of the anterior capsule of the knee joint, intraarticular adhesions, and hypoplasia or absence of the patella that begins to form after the dislocation is corrected. The supraratellar bursa is obliterated by tendon adhesions, the collateral ligaments are displaced forward, the hamstring muscles are subluxed forward (functioning as knee extensors), the iliotibial band is hyper rotated, the patella may be displaced outward, and the cruciate ligaments may be altered or missing altogether [10,23]. The congenital anomalies most frequently associated with congenital dislocation of the knee are developmental dislocation of the hip and congenital anomalies of the feet [1].…”

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Bilateral Congenital Knee Dislocation in Colombia: Case Report and Literature Review

et al. 2022

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Congenital knee dislocation (CKD) is a rare disease with an estimated incidence of 1 per 100,000 live births, characterized by a rare musculoskeletal malformation in genu recurvatum deformity present at birth, affecting one or both lower limbs. The diagnosis may be suspected during ultrasound when observing that the situation of the extremities is not correct, and is confirmed by physical examination at birth, with plain radiography being helpful to establish the degree of severity. At present there are controversies regarding treatment and there is no definitive protocol. We present a new case of CKD, observed in the city of Manizales, diagnosed immediately after birth.

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Bilateral Congenital Dislocation of the Knee

Cited by 3 publications

References 3 publications

Congenital and Bilateral Dislocation of the Knee: Case Report and Review of Literature

Congenital and Bilateral Dislocation of the Knee: Case Report and Review of Literature

Neglected intrauterine bilateral congenital knee dislocation

Bilateral Congenital Knee Dislocation in Colombia: Case Report and Literature Review

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