Congenital dislocation of the knee complicated with bilateral hip dislocation: a case report and literature review.
Classification
Congenital knee dislocation
Treatment
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
24 Apr 2024
24 Apr 2024
Historique:
received:
31
08
2023
accepted:
27
02
2024
medline:
25
4
2024
pubmed:
25
4
2024
entrez:
24
4
2024
Statut:
epublish
Résumé
Congenital dislocation of the knee is characterised by excessive knee extension or dislocation and anterior subluxation of the proximal tibia, and this disease can occur independently or coexist with different systemic syndromes. Nevertheless, significant controversy surrounds treating this disease when combined with hip dislocation. This paper presents a case of a 4-month-old patient diagnosed with bilateral hip dislocation combined with this disease. The study discusses the pathophysiology, diagnosis, and treatment methods and reviews relevant literature. We reported a case of a 4-month-old female infant with congenital dislocation of the right knee joint, which presented as flexion deformity since birth. Due to limitations in local medical conditions, she did not receive proper and effective diagnosis and treatment. Although the flexion deformity of her right knee joint partially improved without treatment, it did not fully recover to normal. When she was 4 months old, she came to our hospital for consultation, and we found that she also had congenital dislocation of both hip joints and atrial septal defect. We performed staged treatment for her, with the first stage involving surgical intervention and plaster orthosis for her congenital dislocation of the right knee joint, and the second stage involving closed reduction and plaster fixation orthosis for her congenital hip joint dislocation. Currently, the overall treatment outcome is satisfactory, and she is still under follow-up observation. Early initiation of treatment is generally advised, as nonsurgical methods prove satisfactory for mild cases. However, surgical intervention should be considered in cases with severe stiffness, unresponsive outcomes to conservative treatment, persistent deformities, or diagnoses and treatments occurring beyond the first month after birth.
Sections du résumé
BACKGROUND
BACKGROUND
Congenital dislocation of the knee is characterised by excessive knee extension or dislocation and anterior subluxation of the proximal tibia, and this disease can occur independently or coexist with different systemic syndromes. Nevertheless, significant controversy surrounds treating this disease when combined with hip dislocation. This paper presents a case of a 4-month-old patient diagnosed with bilateral hip dislocation combined with this disease. The study discusses the pathophysiology, diagnosis, and treatment methods and reviews relevant literature.
CASE PRESENTATION
METHODS
We reported a case of a 4-month-old female infant with congenital dislocation of the right knee joint, which presented as flexion deformity since birth. Due to limitations in local medical conditions, she did not receive proper and effective diagnosis and treatment. Although the flexion deformity of her right knee joint partially improved without treatment, it did not fully recover to normal. When she was 4 months old, she came to our hospital for consultation, and we found that she also had congenital dislocation of both hip joints and atrial septal defect. We performed staged treatment for her, with the first stage involving surgical intervention and plaster orthosis for her congenital dislocation of the right knee joint, and the second stage involving closed reduction and plaster fixation orthosis for her congenital hip joint dislocation. Currently, the overall treatment outcome is satisfactory, and she is still under follow-up observation.
CONCLUSIONS
CONCLUSIONS
Early initiation of treatment is generally advised, as nonsurgical methods prove satisfactory for mild cases. However, surgical intervention should be considered in cases with severe stiffness, unresponsive outcomes to conservative treatment, persistent deformities, or diagnoses and treatments occurring beyond the first month after birth.
Identifiants
pubmed: 38658889
doi: 10.1186/s12891-024-07316-1
pii: 10.1186/s12891-024-07316-1
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
327Subventions
Organisme : Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
ID : 2020LCZX-03
Organisme : Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
ID : 2020LCZX-03
Organisme : Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
ID : 2020LCZX-03
Organisme : Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
ID : 2020LCZX-03
Organisme : Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
ID : 2020LCZX-03
Organisme : Clinical Medical Research Center Projects - Innovation Capability Support Program of Shaanxi Province
ID : 2020LCZX-03
Informations de copyright
© 2024. The Author(s).
Références
Mehrafshan M, Wicart P, Ramanoudjame M, et al. Congenital dislocation of the knee at birth – part I: clinical signs and classification. Orthop Traumatol Surg Res. 2016;102(5):631–3. https://doi.org/10.1016/j.otsr.2016.04.008 .
doi: 10.1016/j.otsr.2016.04.008
pubmed: 27266619
Charif P, Reichelderfer TE. Genu recurvatum congenitum in the newborn: its incidence, course, treatment, prognosis. Clin Pediatr (Phila). 1965;4(10):587–94. https://doi.org/10.1177/000992286500401006 .
doi: 10.1177/000992286500401006
pubmed: 5889980
Palco M, Rizzo P, Sanzarello I, et al. Congenital and bilateral dislocation of the knee: case report and review of literature. Orthop Rev. 2022;14(3):33926. https://doi.org/10.52965/001c.33926 .
doi: 10.52965/001c.33926
Ferris B, Aichroth P. The treatment of congenital knee dislocation: a review of Nineteen Knees. Clin Orthop. 1987;Mar(216):135–40. https://doi.org/10.1097/00003086-198703000-00021 .
doi: 10.1097/00003086-198703000-00021
Laurence M, GENU RECURVATUM CONGENITUMJ, Bone Joint. Surg Br. 1967;49–B(1):121–34. https://doi.org/10.1302/0301-620X.49B1.121 .
doi: 10.1302/0301-620X.49B1.121
Curtis BH, Fisher RL. Congenital hyperextension with anterior subluxation of the knee. Surgical treatment and long-term observations. J Bone Joint Surg Am. 1969;51(2):255–69.
doi: 10.2106/00004623-196951020-00005
pubmed: 5767318
Naik PV. Management of congenital knee dislocation. Curr Orthop Pract. 2013;24(1):43. https://doi.org/10.1097/BCO.0b013e31827ba3d5 .
doi: 10.1097/BCO.0b013e31827ba3d5
Mahirogullari M, Pehlivan O, Kiral A, et al. Management of the bilateral congential dislocation of the hip and knee: a case report. Arch Orthop Trauma Surg. 2006;126(9):634–6. https://doi.org/10.1007/s00402-005-0068-3 .
doi: 10.1007/s00402-005-0068-3
pubmed: 16273376
Müller M, Strecker W. [Congenital knee dislocation in Larsen syndrome treated by arthroplasty]. Orthopade. 2010;39(4):444–8. https://doi.org/10.1007/s00132-009-1579-3 .
doi: 10.1007/s00132-009-1579-3
pubmed: 20091295
Abdelaziz TH, Samir S. Congenital dislocation of the knee: a protocol for management based on degree of knee flexion. J Child Orthop. 2011;5(2):143–9. https://doi.org/10.1007/s11832-011-0333-7 .
doi: 10.1007/s11832-011-0333-7
pubmed: 22468158
pmcid: 3058203
Yalaburgi SB. Congenital dislocation of the knee. A report of 5 cases. South Afr Med J Suid-Afr Tydskr Vir Geneeskd. 1981;59(22):804–6.
de Castro López MJ, Iglesias Deus A, Rodriguez Vidal A, et al. Knee dislocation in the delivery room. J Pediatr. 2014;165(4):871. https://doi.org/10.1016/j.jpeds.2014.05.035 .
doi: 10.1016/j.jpeds.2014.05.035
pubmed: 24973291
Morales-Roselló J, Loscalzo G, Hueso-Villanueva M, et al. Congenital knee dislocation, case report and review of the literature. J Matern Fetal Neonatal Med. 2022;35(4):809–11. https://doi.org/10.1080/14767058.2020.1731464 .
doi: 10.1080/14767058.2020.1731464
pubmed: 32178562
Lampasi M, Antonioli D, Donzelli O. Management of knee deformities in children with arthrogryposis. Musculoskelet Surg. 2012;96(3):161–9. https://doi.org/10.1007/s12306-012-0218-z .
doi: 10.1007/s12306-012-0218-z
pubmed: 22875688
Bensahel H, Dal Monte A, Hjelmstedt A, et al. Congenital dislocation of the knee. J Pediatr Orthop. 1989;9(2):174–7.
doi: 10.1097/01241398-198903000-00011
pubmed: 2647786
Johnson E, Audell R, Oppenheim WL. Congenital dislocation of the knee. J Pediatr Orthop. 1987;7(2):194. https://doi.org/10.1097/01241398-198703000-00017 .
doi: 10.1097/01241398-198703000-00017
pubmed: 3558805
Cho T-J, Seo J-B, Lee HR, et al. Biologic characteristics of fibrous hamartoma from congenital pseudarthrosis of the tibia associated with neurofibromatosis type 1. J Bone Joint Surg Am. 2008;90(12):2735–44. https://doi.org/10.2106/JBJS.H.00014 .
doi: 10.2106/JBJS.H.00014
pubmed: 19047720
Cavoretto PI, Castoldi M, Corbella G, et al. Prenatal diagnosis and postnatal outcome of fetal congenital knee dislocation: systematic review of literature. Ultrasound Obstet Gynecol off J Int Soc Ultrasound Obstet Gynecol. 2023. https://doi.org/10.1002/uog.26283 .
doi: 10.1002/uog.26283
Youssef AO. Limited Open quadriceps Release for treatment of congenital dislocation of the knee. J Pediatr Orthop. 2017;37(3):192–8. https://doi.org/10.1097/BPO.0000000000000612 .
doi: 10.1097/BPO.0000000000000612
pubmed: 28278134
Ooishi T, Sugioka Y, Matsumoto S, et al. Congenital dislocation of the knee. Its pathologic features and treatment. Clin Orthop. 1993;287:187–92.
doi: 10.1097/00003086-199302000-00029
Bell MJ, Atkins RM, Sharrard WJ. Irreducible congenital dislocation of the knee. Aetiology and management. J Bone Joint Surg Br. 1987;69(3):403–6. https://doi.org/10.1302/0301-620X.69B3.3584194 .
doi: 10.1302/0301-620X.69B3.3584194
pubmed: 3584194
Uhthoff HK, Ogata S. Early intrauterine presence of congenital dislocation of the knee. J Pediatr Orthop. 1994;14(2):254–7. https://doi.org/10.1097/01241398-199403000-00023 .
doi: 10.1097/01241398-199403000-00023
pubmed: 8188844
Barber MA, Equiluz I, Plasencia W, et al. Prenatal features of genu recurvatum and genu flexum. Int J Gynecol Obstet. 2009;105(3):267–8. https://doi.org/10.1016/j.ijgo.2009.01.015 .
doi: 10.1016/j.ijgo.2009.01.015
Oetgen ME, Walick KS, Tulchin K, et al. Functional results after Surgical Treatment for congenital knee dislocation. J Pediatr Orthop. 2010;30(3):216–23. https://doi.org/10.1097/BPO.0b013e3181d48375 .
doi: 10.1097/BPO.0b013e3181d48375
pubmed: 20357585
Shah NR, Limpaphayom N, Dobbs MB. A minimally invasive treatment protocol for the congenital dislocation of the knee. J Pediatr Orthop. 2009;29(7):720–5. https://doi.org/10.1097/BPO.0b013e3181b7694d .
doi: 10.1097/BPO.0b013e3181b7694d
pubmed: 20104152
Salvador Marín J, Miranda Gorozarri C, Egea-Gámez RM, et al. Congenital knee dislocation. Therapeutic protocol and long-term functional results. Rev Esp Cir Ortop Traumatol Engl Ed. 2021;65(3):172–9. https://doi.org/10.1016/j.recot.2020.07.007 .
doi: 10.1016/j.recot.2020.07.007
pubmed: 33414098
Singh BKAR, Shah KA. Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age. Int Orthop. 2020;44(12):2635–44. https://doi.org/10.1007/s00264-020-04759-8 .
doi: 10.1007/s00264-020-04759-8
pubmed: 32772317