Luxation irréductible du genou par incarcération du plan capsulo-ligamentaire médial

Chirpaz-Cerbat, J.-M.; Rossi, Juliana Regina; G, Mélère; Martinez, Tracy

doi:10.1016/s0035-1040(04)70172-5

Cited by 7 publications

(1 citation statement)

References 18 publications

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“…It is usually the result of a sprain in posterior-lateral sense. The presence of a cutaneous retraction on the medial joint line and eventual signs of cutaneous suffering are characteristic clinical signs [7, 8]. …”

Section: Discussionmentioning

confidence: 99%

Non-reducible knee dislocation with interposition of the vastus medialis muscle

Bistolfi

Massazza

Rosso

et al. 2011

J Orthopaed Traumatol

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Irreducibility of the knee following complete dislocation is a rare event determined by the interposition of various capsulo-ligamentous structures in the joint space. Such cases often require urgent surgical treatment. We report the case of a healthy 70-year-old man with a sprain of the left knee that occurred after a sports trauma. The patient showed knee dislocation with multiple ligamentous injuries and articular block due to interposition of a portion of the vastus medialis muscle. After arthroscopic evaluation, we performed surgical treatment to free the muscle, regularize the medial meniscus and suture the posterior and medial capsule and ligaments; the cruciate ligaments were not treated. The most interesting aspect of the articular damage in this case was a wide detachment of the vastus medialis muscle with intra-articular dislocation. The decision to treat only the posterior lesions and allow the healing of the front ones by rehabilitation treatment was supported by full functional recovery and return to sports activity.

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Section: Discussionmentioning

confidence: 99%

Non-reducible knee dislocation with interposition of the vastus medialis muscle

Bistolfi

Massazza

Rosso

et al. 2011

J Orthopaed Traumatol

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Management of knee dislocation prior to ligament reconstruction: What is the current evidence? Update of a universal treatment algorithm

Maslaris

Brinkmann

Bungartz

et al. 2018

Eur J Orthop Surg Traumatol

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Traumatic knee dislocation is a rare but potentially limb-threatening injury. Thus proper initial diagnosis and treatment up to final ligament reconstruction are extremely important and a precondition to successful outcomes. Reports suggest that evidence-based systematic approaches lead to better results. Because of the complexity of this injury and the inhomogeneity of related literature, there are still various controversies and knowledge gaps regarding decision-making and step-sequencing in the treatment of acute multi-ligament knee injuries and knee dislocations. The use of ankle-brachial index, routine or selective angiography, braces, joint-spanning or dynamic external fixation, and the necessity of initial ligament re-fixation during acute surgery constitutes current topics of a scholarly debate. The aim of this article was to provide a comprehensive literature review bringing light into some important aspects about the initial treatment of knee dislocation (vascular injury, neural injury, immobilization techniques) and finally develop an accurate data-based universal algorithm, enabling attending physicians to become more acquainted with the management of acute knee dislocation.

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