Atraumatische anteriore Kniegelenksluxation bei Pangonarthrose
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Atraumatische anteriore Kniegelenksluxation bei Pangonarthrose. / Citak, M; Ansorge, C; Klatte, T O; Klauser, W; Gehrke, T; Kendoff, D.
In: Z ORTHOP UNFALLCHIR, Vol. 151, No. 2, 01.04.2013, p. 138-41.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Atraumatische anteriore Kniegelenksluxation bei Pangonarthrose
AU - Citak, M
AU - Ansorge, C
AU - Klatte, T O
AU - Klauser, W
AU - Gehrke, T
AU - Kendoff, D
N1 - Georg Thieme Verlag KG Stuttgart · New York.
PY - 2013/4/1
Y1 - 2013/4/1
N2 - Complete knee dislocation is a rare and severe injury and usually follows high-energy trauma. Non-traumatic knee dislocations are exceedingly rare, while severe overweight appears to be the main cause of the knee dislocation. We here report on a spontaneous knee dislocation in a patient with severe osteoarthritis of the left knee. A 68-year-old woman was admitted to our hospital for an elective total knee replacement. One year prior to admission, a planned joint replacement was not performed due to an existing ulcus cruris. After healing of the ulcus cruris, the patient presented with progressive pain and instability of the left knee without any trauma. The clinical examination showed a multidirectional instability of the left knee with a restricted range of motion (ROM) with 0-0-40 degrees for extension and flexion. The performed radiological examination revealed an anterior knee dislocation of the left knee. Intraoperative findings suggest a non-traumatic aetiology. We suspect that osteoarthritis of the left knee has caused the dislocation. Therefore, we recommend, even in usually "harmless" osteoarthritis, close clinical and radiological follow-up examinations to detect and treat possible complications.
AB - Complete knee dislocation is a rare and severe injury and usually follows high-energy trauma. Non-traumatic knee dislocations are exceedingly rare, while severe overweight appears to be the main cause of the knee dislocation. We here report on a spontaneous knee dislocation in a patient with severe osteoarthritis of the left knee. A 68-year-old woman was admitted to our hospital for an elective total knee replacement. One year prior to admission, a planned joint replacement was not performed due to an existing ulcus cruris. After healing of the ulcus cruris, the patient presented with progressive pain and instability of the left knee without any trauma. The clinical examination showed a multidirectional instability of the left knee with a restricted range of motion (ROM) with 0-0-40 degrees for extension and flexion. The performed radiological examination revealed an anterior knee dislocation of the left knee. Intraoperative findings suggest a non-traumatic aetiology. We suspect that osteoarthritis of the left knee has caused the dislocation. Therefore, we recommend, even in usually "harmless" osteoarthritis, close clinical and radiological follow-up examinations to detect and treat possible complications.
KW - Adult
KW - Female
KW - Humans
KW - Knee Dislocation
KW - Osteoarthritis, Knee
KW - Treatment Outcome
U2 - 10.1055/s-0032-1328205
DO - 10.1055/s-0032-1328205
M3 - SCORING: Zeitschriftenaufsatz
C2 - 23619645
VL - 151
SP - 138
EP - 141
JO - Z ORTHOP UNFALLCHIR
JF - Z ORTHOP UNFALLCHIR
SN - 1864-6697
IS - 2
ER -