Newborn with congenital knee dislocation in Villa Clara
Keywords:
newborn, knee, congenital dislocation.Abstract
Introduction: Congenital knee dislocation is a rare condition, with an incidence rate of 1 per 100,000 live births. It is diagnosed through physical examination; however, the simple x-ray specifies the level of severity.
Objective: To demonstrate the effectiveness of conservative treatment in a case of congenital knee dislocation.
Case report: The case of a female newborn, product of eutocic birth with a normal Apgar score at birth, is reported. The first physical examination showed the right lower limb recurvatum at the end of the tibia on the femur. Pediatric orthopedics was consulted and, based on a simple x-ray, a type III congenital knee dislocation was diagnosed, according to the classification of Laurence and Curtis Fisher. The limb was immobilized with a cruropedic cast and a flexion of less than 90° was obtained.
Conclusions: Early conservative treatment allowed the patient to leave the Neonatology Service without complications.
Downloads
References
Rumyantsev NY, Kruglov IY, Omarov GG, Voronin DV, Rumiantceva NN. Congenital dislocation of the knee: prenatal diagnostics and treatment at an early age. Pediat Traumatol Orthop Reconstruct Surg. 2017;5(2):26-35. DOI: https://doi.org/10.17816/PTORS5226-35
Amrath Raj BK, Singh KA, Shah H. Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age. Int Orthop (SICOT). 2020;44:2635-44. DOI: https://doi.org/10.1007/s00264-020-04759-8
Culqui FC, Calderón MA, Cocha M. Tratamiento conservador en luxacióncongénita de rodilla: reporte de un caso y revisión de la literatura. Rev Cub Reumatol. 2019 [acceso 22/03/22];21(1):1-7. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962019000400013
Salvador C, Miranda RM, Egea J, Alonso S, Martínez S, Palazón A. Luxación congénita de rodilla. Protocolo terapéutico y resultados funcionales a largo plazo. Rev Esp Cir Ortop Traumatol. 2021;65(3):172-9. DOI: https://doi.org/10.1016/j.recot.2020.07.007
Salguero JA, Sánchez SA, Lozada ID, Liscano Y, Díaz JA. Bilateral congenital knee dislocation in Colombia: case report and literature review. Children. 2023;10(1):20. DOI: https://doi.org/10.3390%2Fchildren10010020
Klein C, Bulaid Y, Deroussen F, Plancq MC, Printemps C, Gouron R. Congenital dislocation of the knee in a three-year-old-child with Larsen syndrome: treatment with a hexapod-type external fixator. Knee. 2018;25(5):966-71. DOI: https://doi.org/10.1016/j.knee.2018.07.006
Dorta IJ, Marrero CL, García VM. Luxación congénita de rodilla. Una serie de cuatro casos. Canarias Pediat. 2019 [acceso 8/04/22];43(3):202-4. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7189309
La O I, Bazán M, Chacón G, Cedeño L, Aguilar NY. Resultado de tratamiento quirúrgico de la luxación recidivante de rótula mediante la técnica de Campbell. Acta Ortop Mex. 2021;35(6):572-6. DOI: https://dx.doi.org/10.35366/105714
Palco M, Rizzo P, Sanzarello I, Nanni M, Leonetti D. Congenital and bilateral dislocation of the knee: case report and review of literature. Orthop Rev (Pavia). 2022;14(3):33926. DOI: https://doi.org/10.52965/001c.33926
Youssef AO. Limited open quadriceps release for treatment of congenital dislocation of the Knee. J Pediatr Orthop. 2017;37(3):192-8. DOI: https://doi.org/10.1097/bpo.0000000000000612
