Traumatic Anterior Knee Dislocation with Popliteal Artery Injury: The Importance of a Prompt Diagnosis and Treatment to Obtain Lower Limb Salvage
Abstract We report a case of traumatic anterior dislocation of the left knee in association with disruption of the soft tissues including knee ligaments, popliteal artery and common peroneal nerve, resulting in lower limb acute ischemia. All components of this complex trauma were recognised and trea...
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Veröffentlicht in: | Annals of vascular surgery 2017-08, Vol.43, p.309.e1-309.e3 |
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container_title | Annals of vascular surgery |
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creator | Massara, Mafalda, MD, PhD Prunella, Roberto, MD De Caridi, Giovanni, MD, PhD Cito, Domenico, MD Serra, Raffaele, MD, PhD Gerardi, Pasquale, MD Notarstefano, Stefano, MD Impedovo, Giovanni, MD |
description | Abstract We report a case of traumatic anterior dislocation of the left knee in association with disruption of the soft tissues including knee ligaments, popliteal artery and common peroneal nerve, resulting in lower limb acute ischemia. All components of this complex trauma were recognised and treated promptly with rehabilitation commencing early. The present case is important in two aspects: firstly it reports a very rare occurrence of simultaneous anterior dislocation of the knee associated with vascular insult and common peroneal nerve injury, that was rarely reported in the current literature; secondly it highlights that with timely intervention and a team approach excellent results could be achieved. |
doi_str_mv | 10.1016/j.avsg.2016.12.020 |
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All components of this complex trauma were recognised and treated promptly with rehabilitation commencing early. The present case is important in two aspects: firstly it reports a very rare occurrence of simultaneous anterior dislocation of the knee associated with vascular insult and common peroneal nerve injury, that was rarely reported in the current literature; secondly it highlights that with timely intervention and a team approach excellent results could be achieved.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2016.12.020</identifier><identifier>PMID: 28461181</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Computed Tomography Angiography ; Humans ; Ischemia - diagnostic imaging ; Ischemia - etiology ; Ischemia - physiopathology ; Ischemia - surgery ; Knee Dislocation - diagnostic imaging ; Knee Dislocation - etiology ; Knee Dislocation - physiopathology ; Knee Dislocation - surgery ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Knee Joint - surgery ; Limb Salvage ; Male ; Martial Arts - injuries ; Peroneal Neuropathies - etiology ; Peroneal Neuropathies - surgery ; Popliteal Artery - diagnostic imaging ; Popliteal Artery - injuries ; Popliteal Artery - physiopathology ; Popliteal Artery - surgery ; Predictive Value of Tests ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - physiopathology ; Saphenous Vein - surgery ; Surgery ; Time Factors ; Treatment Outcome ; Vascular Grafting - methods ; Vascular System Injuries - diagnostic imaging ; Vascular System Injuries - etiology ; Vascular System Injuries - physiopathology ; Vascular System Injuries - surgery</subject><ispartof>Annals of vascular surgery, 2017-08, Vol.43, p.309.e1-309.e3</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-eafebb9172e3810eac4b414b160f1d723bd8692d59cfcf2e84e77b3b986a51be3</citedby><cites>FETCH-LOGICAL-c411t-eafebb9172e3810eac4b414b160f1d723bd8692d59cfcf2e84e77b3b986a51be3</cites><orcidid>0000-0003-4477-7412</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0890509616310949$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28461181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Massara, Mafalda, MD, PhD</creatorcontrib><creatorcontrib>Prunella, Roberto, MD</creatorcontrib><creatorcontrib>De Caridi, Giovanni, MD, PhD</creatorcontrib><creatorcontrib>Cito, Domenico, MD</creatorcontrib><creatorcontrib>Serra, Raffaele, MD, PhD</creatorcontrib><creatorcontrib>Gerardi, Pasquale, MD</creatorcontrib><creatorcontrib>Notarstefano, Stefano, MD</creatorcontrib><creatorcontrib>Impedovo, Giovanni, MD</creatorcontrib><title>Traumatic Anterior Knee Dislocation with Popliteal Artery Injury: The Importance of a Prompt Diagnosis and Treatment to Obtain Lower Limb Salvage</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>Abstract We report a case of traumatic anterior dislocation of the left knee in association with disruption of the soft tissues including knee ligaments, popliteal artery and common peroneal nerve, resulting in lower limb acute ischemia. All components of this complex trauma were recognised and treated promptly with rehabilitation commencing early. The present case is important in two aspects: firstly it reports a very rare occurrence of simultaneous anterior dislocation of the knee associated with vascular insult and common peroneal nerve injury, that was rarely reported in the current literature; secondly it highlights that with timely intervention and a team approach excellent results could be achieved.</description><subject>Adolescent</subject><subject>Computed Tomography Angiography</subject><subject>Humans</subject><subject>Ischemia - diagnostic imaging</subject><subject>Ischemia - etiology</subject><subject>Ischemia - physiopathology</subject><subject>Ischemia - surgery</subject><subject>Knee Dislocation - diagnostic imaging</subject><subject>Knee Dislocation - etiology</subject><subject>Knee Dislocation - physiopathology</subject><subject>Knee Dislocation - surgery</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Limb Salvage</subject><subject>Male</subject><subject>Martial Arts - injuries</subject><subject>Peroneal Neuropathies - etiology</subject><subject>Peroneal Neuropathies - surgery</subject><subject>Popliteal Artery - diagnostic imaging</subject><subject>Popliteal Artery - injuries</subject><subject>Popliteal Artery - physiopathology</subject><subject>Popliteal Artery - surgery</subject><subject>Predictive Value of Tests</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - physiopathology</subject><subject>Saphenous Vein - surgery</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Grafting - methods</subject><subject>Vascular System Injuries - diagnostic imaging</subject><subject>Vascular System Injuries - etiology</subject><subject>Vascular System Injuries - physiopathology</subject><subject>Vascular System Injuries - surgery</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAUhSMEokPhBVggL9kk-Dr_CCGNyt-IkVqpw9qynZupQ2JPbWeqeQzeGEdTWLBgda_k7xzJ59wkeQ00AwrVuyETR7_PWNwzYBll9EmyggrKtGyL-mmyok1L05K21UXywvuBUmBN0TxPLuKoABpYJb92TsyTCFqRtQnotHXku0Ekn7QfrYoP1pAHHe7IjT2MOqAYydpF8EQ2Zpjd6T3Z3SHZTAfrgjAKie2JIDfOTocQTcTeWK89EaYjO4ciTGgCCZZcyyC0IVv7gI5s9STJrRiPYo8vk2e9GD2-epyXyY8vn3dX39Lt9dfN1XqbqgIgpCh6lLKFmmHeAEWhCllAIaGiPXQ1y2XXVC3rylb1qmfYFFjXMpdtU4kSJOaXyduz78HZ-xl94JP2CsdRGLSz59C0RcmgKcqIsjOqnPXeYc8PTk_CnThQvlTBB75UwZcqODAeq4iiN4_-s5yw-yv5k30EPpwBjL88anTcK40xwk47VIF3Vv_f_-M_cjVqo5UYf-IJ_WBnZ2J-HLiPAn67HMNyC1DlQNuizX8DTIixgg</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Massara, Mafalda, MD, PhD</creator><creator>Prunella, Roberto, MD</creator><creator>De Caridi, Giovanni, MD, PhD</creator><creator>Cito, Domenico, MD</creator><creator>Serra, Raffaele, MD, PhD</creator><creator>Gerardi, Pasquale, MD</creator><creator>Notarstefano, Stefano, MD</creator><creator>Impedovo, Giovanni, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4477-7412</orcidid></search><sort><creationdate>20170801</creationdate><title>Traumatic Anterior Knee Dislocation with Popliteal Artery Injury: The Importance of a Prompt Diagnosis and Treatment to Obtain Lower Limb Salvage</title><author>Massara, Mafalda, MD, PhD ; Prunella, Roberto, MD ; De Caridi, Giovanni, MD, PhD ; Cito, Domenico, MD ; Serra, Raffaele, MD, PhD ; Gerardi, Pasquale, MD ; Notarstefano, Stefano, MD ; Impedovo, Giovanni, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-eafebb9172e3810eac4b414b160f1d723bd8692d59cfcf2e84e77b3b986a51be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Computed Tomography Angiography</topic><topic>Humans</topic><topic>Ischemia - diagnostic imaging</topic><topic>Ischemia - etiology</topic><topic>Ischemia - physiopathology</topic><topic>Ischemia - surgery</topic><topic>Knee Dislocation - diagnostic imaging</topic><topic>Knee Dislocation - etiology</topic><topic>Knee Dislocation - physiopathology</topic><topic>Knee Dislocation - surgery</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Limb Salvage</topic><topic>Male</topic><topic>Martial Arts - injuries</topic><topic>Peroneal Neuropathies - etiology</topic><topic>Peroneal Neuropathies - surgery</topic><topic>Popliteal Artery - diagnostic imaging</topic><topic>Popliteal Artery - injuries</topic><topic>Popliteal Artery - physiopathology</topic><topic>Popliteal Artery - surgery</topic><topic>Predictive Value of Tests</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - physiopathology</topic><topic>Saphenous Vein - surgery</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Grafting - methods</topic><topic>Vascular System Injuries - diagnostic imaging</topic><topic>Vascular System Injuries - etiology</topic><topic>Vascular System Injuries - physiopathology</topic><topic>Vascular System Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Massara, Mafalda, MD, PhD</creatorcontrib><creatorcontrib>Prunella, Roberto, MD</creatorcontrib><creatorcontrib>De Caridi, Giovanni, MD, PhD</creatorcontrib><creatorcontrib>Cito, Domenico, MD</creatorcontrib><creatorcontrib>Serra, Raffaele, MD, PhD</creatorcontrib><creatorcontrib>Gerardi, Pasquale, MD</creatorcontrib><creatorcontrib>Notarstefano, Stefano, MD</creatorcontrib><creatorcontrib>Impedovo, Giovanni, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Massara, Mafalda, MD, PhD</au><au>Prunella, Roberto, MD</au><au>De Caridi, Giovanni, MD, PhD</au><au>Cito, Domenico, MD</au><au>Serra, Raffaele, MD, PhD</au><au>Gerardi, Pasquale, MD</au><au>Notarstefano, Stefano, MD</au><au>Impedovo, Giovanni, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic Anterior Knee Dislocation with Popliteal Artery Injury: The Importance of a Prompt Diagnosis and Treatment to Obtain Lower Limb Salvage</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>43</volume><spage>309.e1</spage><epage>309.e3</epage><pages>309.e1-309.e3</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>Abstract We report a case of traumatic anterior dislocation of the left knee in association with disruption of the soft tissues including knee ligaments, popliteal artery and common peroneal nerve, resulting in lower limb acute ischemia. All components of this complex trauma were recognised and treated promptly with rehabilitation commencing early. The present case is important in two aspects: firstly it reports a very rare occurrence of simultaneous anterior dislocation of the knee associated with vascular insult and common peroneal nerve injury, that was rarely reported in the current literature; secondly it highlights that with timely intervention and a team approach excellent results could be achieved.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28461181</pmid><doi>10.1016/j.avsg.2016.12.020</doi><orcidid>https://orcid.org/0000-0003-4477-7412</orcidid></addata></record> |
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subjects | Adolescent Computed Tomography Angiography Humans Ischemia - diagnostic imaging Ischemia - etiology Ischemia - physiopathology Ischemia - surgery Knee Dislocation - diagnostic imaging Knee Dislocation - etiology Knee Dislocation - physiopathology Knee Dislocation - surgery Knee Joint - diagnostic imaging Knee Joint - physiopathology Knee Joint - surgery Limb Salvage Male Martial Arts - injuries Peroneal Neuropathies - etiology Peroneal Neuropathies - surgery Popliteal Artery - diagnostic imaging Popliteal Artery - injuries Popliteal Artery - physiopathology Popliteal Artery - surgery Predictive Value of Tests Saphenous Vein - diagnostic imaging Saphenous Vein - physiopathology Saphenous Vein - surgery Surgery Time Factors Treatment Outcome Vascular Grafting - methods Vascular System Injuries - diagnostic imaging Vascular System Injuries - etiology Vascular System Injuries - physiopathology Vascular System Injuries - surgery |
title | Traumatic Anterior Knee Dislocation with Popliteal Artery Injury: The Importance of a Prompt Diagnosis and Treatment to Obtain Lower Limb Salvage |
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