Irreducible open posterolateral knee dislocation due to medial meniscus interposition
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 traumati...
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| Veröffentlicht in: | Acta orthopaedica et traumatologica turcica 2011, Vol.45 (5), p.382 |
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| creator | Durakbaşa, Mehmet Oğuz Ulkü, Kerem Ermiş, Mehmet Nurullah |
| description | 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. |
| doi_str_mv | 10.3944/AOTT.2011.2484 |
| format | Article |
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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.</description><identifier>ISSN: 1017-995X</identifier><identifier>DOI: 10.3944/AOTT.2011.2484</identifier><identifier>PMID: 22033006</identifier><language>eng</language><publisher>Turkey</publisher><subject>Accidents, Traffic ; Adult ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Female ; Follow-Up Studies ; Fractures, Open - diagnosis ; Fractures, Open - surgery ; Humans ; Injury Severity Score ; Joint Dislocations - diagnosis ; Joint Dislocations - surgery ; Knee Injuries - diagnosis ; Knee Injuries - surgery ; Magnetic Resonance Imaging - methods ; Medial Collateral Ligament, Knee - injuries ; Medial Collateral Ligament, Knee - surgery ; Menisci, Tibial - diagnostic imaging ; Menisci, Tibial - surgery ; Multiple Trauma - diagnosis ; Multiple Trauma - surgery ; Orthopedic Procedures - methods ; Patella - injuries ; Patella - surgery ; Risk Assessment ; Tibial Meniscus Injuries ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>Acta orthopaedica et traumatologica turcica, 2011, Vol.45 (5), p.382</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22033006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Durakbaşa, Mehmet Oğuz</creatorcontrib><creatorcontrib>Ulkü, Kerem</creatorcontrib><creatorcontrib>Ermiş, Mehmet Nurullah</creatorcontrib><title>Irreducible open posterolateral knee dislocation due to medial meniscus interposition</title><title>Acta orthopaedica et traumatologica turcica</title><addtitle>Acta Orthop Traumatol Turc</addtitle><description>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.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fractures, Open - diagnosis</subject><subject>Fractures, Open - surgery</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Joint Dislocations - diagnosis</subject><subject>Joint Dislocations - surgery</subject><subject>Knee Injuries - diagnosis</subject><subject>Knee Injuries - surgery</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medial Collateral Ligament, Knee - injuries</subject><subject>Medial Collateral Ligament, Knee - surgery</subject><subject>Menisci, Tibial - diagnostic imaging</subject><subject>Menisci, Tibial - surgery</subject><subject>Multiple Trauma - diagnosis</subject><subject>Multiple Trauma - surgery</subject><subject>Orthopedic Procedures - methods</subject><subject>Patella - injuries</subject><subject>Patella - surgery</subject><subject>Risk Assessment</subject><subject>Tibial Meniscus Injuries</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>1017-995X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1T8tOwzAQ9AFES-HKEfkHUtZeO4mPVcWjUqVeUolb5fghGZI4ipMDf48RsIcdaXZmNEvIA4MtKiGedqem2XJgbMtFLa7ImgGrCqXk-4rcpvQBIKRCvCErzgERoFyT82GanF1MaDtH4-gGOsY0uyl2Om_d0c_BOWpD6qLRc4gDtYujc6S9syGfezeEZJZEw5D12Rt-RHfk2usuufs_3JDzy3OzfyuOp9fDfncsRs5gLmQerTxyq5RFrNuW1ZX2Eo01tWGCgYdMMQFKaSm8lKIyyITR3pW2BNyQx9_ccWlzocs4hV5PX5f___AbXxdRpw</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Durakbaşa, Mehmet Oğuz</creator><creator>Ulkü, Kerem</creator><creator>Ermiş, Mehmet Nurullah</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>2011</creationdate><title>Irreducible open posterolateral knee dislocation due to medial meniscus interposition</title><author>Durakbaşa, Mehmet Oğuz ; Ulkü, Kerem ; Ermiş, Mehmet Nurullah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p210t-5555a9f32d99d338bb187af53cdc8c1410f0b1814099a54f5547c314cafe6d603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fractures, Open - diagnosis</topic><topic>Fractures, Open - surgery</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Joint Dislocations - diagnosis</topic><topic>Joint Dislocations - surgery</topic><topic>Knee Injuries - diagnosis</topic><topic>Knee Injuries - surgery</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medial Collateral Ligament, Knee - injuries</topic><topic>Medial Collateral Ligament, Knee - surgery</topic><topic>Menisci, Tibial - diagnostic imaging</topic><topic>Menisci, Tibial - surgery</topic><topic>Multiple Trauma - diagnosis</topic><topic>Multiple Trauma - surgery</topic><topic>Orthopedic Procedures - methods</topic><topic>Patella - injuries</topic><topic>Patella - surgery</topic><topic>Risk Assessment</topic><topic>Tibial Meniscus Injuries</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Durakbaşa, Mehmet Oğuz</creatorcontrib><creatorcontrib>Ulkü, Kerem</creatorcontrib><creatorcontrib>Ermiş, Mehmet Nurullah</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Acta orthopaedica et traumatologica turcica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Durakbaşa, Mehmet Oğuz</au><au>Ulkü, Kerem</au><au>Ermiş, Mehmet Nurullah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Irreducible open posterolateral knee dislocation due to medial meniscus interposition</atitle><jtitle>Acta orthopaedica et traumatologica turcica</jtitle><addtitle>Acta Orthop Traumatol Turc</addtitle><date>2011</date><risdate>2011</risdate><volume>45</volume><issue>5</issue><spage>382</spage><pages>382-</pages><issn>1017-995X</issn><abstract>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.</abstract><cop>Turkey</cop><pmid>22033006</pmid><doi>10.3944/AOTT.2011.2484</doi></addata></record> |
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| identifier | ISSN: 1017-995X |
| ispartof | Acta orthopaedica et traumatologica turcica, 2011, Vol.45 (5), p.382 |
| issn | 1017-995X |
| language | eng |
| recordid | cdi_pubmed_primary_22033006 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Accidents, Traffic Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Female Follow-Up Studies Fractures, Open - diagnosis Fractures, Open - surgery Humans Injury Severity Score Joint Dislocations - diagnosis Joint Dislocations - surgery Knee Injuries - diagnosis Knee Injuries - surgery Magnetic Resonance Imaging - methods Medial Collateral Ligament, Knee - injuries Medial Collateral Ligament, Knee - surgery Menisci, Tibial - diagnostic imaging Menisci, Tibial - surgery Multiple Trauma - diagnosis Multiple Trauma - surgery Orthopedic Procedures - methods Patella - injuries Patella - surgery Risk Assessment Tibial Meniscus Injuries Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Irreducible open posterolateral knee dislocation due to medial meniscus interposition |
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