Knee trauma: cruciate ligament dysplasia associated with fibular hemimelia (2003:7b)

Chelli-Bouaziz, Mouna; Bouaziz, N; Bianchi-Zamorani, Maria Pia; Fritschy, Daniel; Bianchi, Stefano

doi:10.1007/s00330-003-1892-x

Cited by 8 publications

(6 citation statements)

References 5 publications

(14 reference statements)

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“…The first suspected case of congenital absence of the cruciate ligament was reported in 1956 [2] and was later confirmed in 1967 by surgical exploration in patients with congenital dislocation of the knee [27]. Subsequently many authors have reported several cases of agenesis of the cruciate ligaments, in most cases, associated with other congenital malformations, such as deformity of the meniscus [9, 19, 24], flat tibial spine [2, 20, 28], shallow femoral intercondylar notch [17], femoral condyle dysplasia [17, 22, 23], valgus knee, fibula dysplasia, dysplasia of the patella [11, 12, 18, 21, 22], hip dysplasia, and idiopathic scoliosis [31]. Rare reports associate this disorder with multiple congenital abnormalities in other parts of the body, usually syndromic conditions such as thrombocytopenia-absent radius syndrome (TAR) [24, 25] and arthrogryposis [26].…”

Section: Discussionmentioning

confidence: 99%

“…Generally, the malformation is unilateral [9–17], more rarely bilateral [5, 6, 14, 18]. In the literature most of the cases described showed that this condition is usually associated with other abnormalities of the musculoskeletal system, in particular of the lower limb such as agenesis of the menisci [19]; tibial spines [20]; agenesis or dysplasia of the patella, tibia, and fibula [11, 12, 18, 21, 22]; focal defects of the proximal femur [17, 22, 23] and multiple organ syndromes like thrombocytopenia-absent radius syndrome (TAR) [24, 25] and arthrogryposis [26]. A congenital defect of one or both cruciate ligaments determines well-defined morphological alterations of both the intercondylar notch and tibial spines, as can be seen upon radiographic examination of the “tunnel view” and the MRI [2, 13, 16, 17, 20, 22, 27].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of a Rare Isolated Bilateral Agenesis of Anterior and Posterior Cruciate Ligaments

Cerulli

Amanti²,

Placella

2014

Case Reports in Orthopedics

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The isolated bilateral agenesis of both cruciate ligaments is a rare congenital disorder. A 17-year-old male came to our attention due to an alteration in gait pattern, pain, and tendency to walk on the forefoot with his knee flexed. The patient did not recall previous injuries. Upon physical examination anterior and posterior chronic instability were observed. Radiographic examination of both knees showed hypoplasia of the tibial eminence, a hypoplastic lateral femoral condyle, and a narrow intercondylar notch. MRI brought to light a bilateral agenesis of both posterior cruciate ligaments. Arthroscopic evaluation confirmed bilateral isolated agenesis of both cruciate ligaments. We recommended a rehabilitation program to prepare the patient for the arthroscopic construction of both cruciate ligaments.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of a Rare Isolated Bilateral Agenesis of Anterior and Posterior Cruciate Ligaments

Cerulli

Amanti²,

Placella

2014

Case Reports in Orthopedics

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“…На думку фахівців, основними причинами розвитку НКС за УВРНК є неадекватне навантаження, травматизація нижньої кінцівки та хірургічна корекція [2][3][4][5].…”

Section: вступunclassified

“…За класифікацією H. M. Manner поділяється на три типи (рисунок); 2. У складі комплексних опорно-рухових аномалій нижньої кінцівки [9]: клишоногість [10], синдром Ларсена [11], артрогрипоз [12], TAR (Thrombocytopenia-absent radius)-синдром [13], аномалії розвитку менісків [14,15], вади розвитку наколінка [16], уроджені поздовжні дефекти нижньої кінцівки -гіпоплазія стегнової кістки, малогомілкова та великогомілкова гемімелії [2,[9][10][11][17][18][19][20][21][22][23][24][25];…”

Section: результати та їх обговоренняunclassified

Knee joint instability in conditions of congenital malformations of the lower extremities

Khmyzov¹,

Yakushkin²,

Katsalap³

2021

OTP

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It is impossible to find out the number of patients with knee joint instability (KJI) in case of congenital malformations of the lower extremities (CMLE). Children, adolescents and young people usually adapt well to this abnormality, so they rarely present with symptoms of instability, even with positive tests. The main reasons for the manifestation of KJI in CMLE are inadequate loading, injuries of the lower extremity and surgical correction. Objective. Based on the assessment of the scientific literature to define the KJI terminology, to identify the main causes of its development and clinical manifestations in conditions of CMLE, to identify trends in the treatment tactics. Methods. More than 500 articles from international libraries PubMed, NCBI, Google Scholar, Medscape, MedlinePlus were searched and analyzed. Taken into account the rarity of the abnormality and the small amount of research in recent years, the depth of the search was 25 years. Results. KJI in children with CMLE may be a consequence of congenital structural features of the lower extremity (isolated malformation in the form of agenesis of the cruciate ligaments or inferiority of the ligament of the knee joint in complex abnormality) and complication of surgical correction of longitudinal defects of the extremities. As the abnormality is not well studied, the tactics for such patients still remain the topic of discussion. The expediency of surgical stabilization of the knee joint has not been conclusively proven due to the fact that in the case of its anomalies certain adaptive mechanisms are formed, which on the one hand are not appropriate to violate, and on the other hand, the current level of medicine allows to promote patients’ functional capabilities, inducing KJI progressing. Conclusions. Children with CMLE adapt well to the concomitant KJI, so in everyday life and prior to surgical correction of CMLE, it does not bother patients. Particular attention should be paid to the stability of the knee joint both before and during prolongation and correction of deformity. The variability and severity of CMLE determines the implementation of multi-stage surgical treatment and surgical stabilization of the knee joint to improve extremity function may be one of them. Key words. Children, knee joint instability, congenital malformations, lower extremities, surgical treatment.

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“…1 The severity of this condition can be classified as Type I or II, characterizing it as a partial shortening or complete aplasia, respectively. 2 FH often presents with other abnormalities such as inferior patellar displacement, 3 deletion of forefoot lateral rays, 4 isolated absence of the posterior cruciate ligament 5 or anterior cruciate ligament, 6–9 and complete absence of both cruciate ligaments. 10 Cruciate ligament aplasia alone has a very rare occurrence of just 0.017 per 1000 live births, most of whom will eventually require a knee replacement.…”

Section: Introductionmentioning

confidence: 99%

Hybrid ACL reconstruction in a 6-year-old female with fibular hemimelia

Tate

Wojtys

2019

SAGE Open Medical Case Reports

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Fibular hemimelia is a rare congenital malformation that is commonly associated with other lower limb abnormalities. This is a unique case of a bicruciate ligament, anterior cru ciate ligament/posterior cruciate ligament (ACL/PCL) deficiency in a 6-year-old female with fibular hemimelia in which we describe an ACL reconstruction using autograft–allograft hybrid technique. This case focuses on the technical aspects of an ACL reconstruction using a physeal-sparing technique with a hybrid ACL graft in a pediatric patient with fibular hemimelia. When evaluating patients with fibular hemimelia, it is important to consider implications of treatment in a stepwise manner as this condition commonly presents with other abnormalities that will most likely require multiple procedures, including limb lengthening.

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Knee trauma: cruciate ligament dysplasia associated with fibular hemimelia (2003:7b)

Cited by 8 publications

References 5 publications

Surgical Treatment of a Rare Isolated Bilateral Agenesis of Anterior and Posterior Cruciate Ligaments

Surgical Treatment of a Rare Isolated Bilateral Agenesis of Anterior and Posterior Cruciate Ligaments

Knee joint instability in conditions of congenital malformations of the lower extremities

Hybrid ACL reconstruction in a 6-year-old female with fibular hemimelia

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