Document Detail


Irreducible open posterolateral knee dislocation due to medial meniscus interposition.
MedLine Citation:
PMID:  22033006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Posterolateral knee dislocations are generally irreducible due to the interposition of the medial capsule and retinaculum. These injuries have a 'dimple sign' which shows the invagination of the tissues in the medial joint line. We present an unusual case of an open posterolateral traumatic knee dislocation (KD-4 [ACL/PCL/MCL/LCL-PLC torn] open knee dislocation) without a 'dimple sign'. Closed reduction attempts were unsuccessful. In surgery, it was found that the medial meniscus was detached from the meniscocapsular junction and entrapped in the joint. The medial meniscus was extracted from the joint, and the joint was reduced. The medial meniscus was sutured to the meniscocapsular junction with anchors. This is the first study reporting medial meniscus interposition in an open posterolateral knee dislocation. Moreover, the presented case is peculiar because although it was a posterolateral knee dislocation, the posterolateral ligament complex was also torn.
Authors:
Mehmet Oğuz Durakbaşa; Kerem Ulkü; Mehmet Nurullah Ermiş
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta orthopaedica et traumatologica turcica     Volume:  45     ISSN:  1017-995X     ISO Abbreviation:  Acta Orthop Traumatol Turc     Publication Date:  2011  
Date Detail:
Created Date:  2011-10-28     Completed Date:  2012-02-27     Revised Date:  2012-04-11    
Medline Journal Info:
Nlm Unique ID:  9424806     Medline TA:  Acta Orthop Traumatol Turc     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  382-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey. odurakbasa@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Adult
Anterior Cruciate Ligament / injuries,  surgery
Dislocations / diagnosis,  surgery*
Female
Follow-Up Studies
Fractures, Open / diagnosis,  surgery*
Humans
Injury Severity Score
Knee Injuries / diagnosis*,  surgery
Magnetic Resonance Imaging / methods
Medial Collateral Ligament, Knee / injuries,  surgery
Menisci, Tibial / injuries,  radiography,  surgery*
Multiple Trauma / diagnosis,  surgery*
Orthopedic Procedures / methods
Patella / injuries,  surgery
Risk Assessment
Tomography, X-Ray Computed / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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