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9 Cards in this Set
- Front
- Back
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Associations with cong knee dislocation |
DDH CTEV Larsen Downs Arthrogryposis |
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Clinical findings in cong knee dislocation |
Knee hyperextension Quads tight Valgus Patella hypoplastic or absent Patella alta Absent cruciates Hamstrings act as extensors |
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Classification cong knee dislocation |
Type 1. Sublux/hyperext min Passive KF 90
Type 2. Mod sublux Flex 45
Type 3. Complete dislocation No contact ROM -90 to 10 |
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DDx to cong knee dislocation |
Cong recurvatum knee (Knee located) |
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Surgical indication in cong dislocation knee |
Failure non op Open reduction @ 6/12 Quads lengthening via ant R/O ant capsule to reduce tibia |
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When to operate & what procedure in cong patella dislocation |
As soon as diagnosed US < 3 yrs, Xr > 3 yrs
Large lat release Medial plication Roux Goldthwaite procedure Galeazzi-semiT transfer |
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Definition of arthrogryposis |
Congenital non progressive rigidity of 2+ joints |
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Clinical features arthrogryposis |
N intelligence Wooden facies All 4 limbs - jnt contractures w webbing Marked limitation joint ROM No creases, skin glossy, tense UL: shoulder add, IR, elbow ext, WF, pronated LL: hips flex/ER/Abd KF Scoliosis
Teratologic DDH, CTEV Cong patella dislocation |
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Principles of treatment in arthrogryposis |
Timing: Correct LL def by 2 - walk Address UL later Allows no manual fn Allows fn assessment
Type: Young - soft tissue procedures Age 6 - f/t brace until Sk mat - night splints Then bony procedures |
