胫骨结节截骨术治疗髌骨习惯性脱位的四向手术：病例报告。

Q4 Medicine

JBJS case connector Pub Date : 2024-09-20 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00193

Patrick Yusin Yeh, En-Rung Chiang, Hsin-Yi Wang, Hsiao-Li Ma, Kun-Hui Chen

{"title":"胫骨结节截骨术治疗髌骨习惯性脱位的四向手术：病例报告。","authors":"Patrick Yusin Yeh, En-Rung Chiang, Hsin-Yi Wang, Hsiao-Li Ma, Kun-Hui Chen","doi":"10.2106/JBJS.CC.24.00193","DOIUrl":null,"url":null,"abstract":"Case: A 22-year-old man with habitual dislocation of the patella (HDP), characterized by lateral dislocation in flexion with spontaneous relocation with extension, presented with right knee pain and inability to actively extend. Imaging revealed lateral patellar dislocation, flat articular surface of the patella, and trochlear dysplasia. His symptoms persisted despite physical therapy. A 4-directional patellar stabilization surgery, incorporating lateral release, medial tibial tuberosity osteotomy, quadriceps muscle lengthening, and medial patellofemoral ligament reconstruction, was performed, with significant improvement in pain and function postoperatively.Conclusion: The procedure could be feasible in cases of severe HDP when conservative measures failed to relieve the patient's symptoms.","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Four-Direction Procedures Involving Tibial Tubercle Osteotomy for Habitual Dislocation of the Patella: A Case Report.\",\"authors\":\"Patrick Yusin Yeh, En-Rung Chiang, Hsin-Yi Wang, Hsiao-Li Ma, Kun-Hui Chen\",\"doi\":\"10.2106/JBJS.CC.24.00193\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Case: A 22-year-old man with habitual dislocation of the patella (HDP), characterized by lateral dislocation in flexion with spontaneous relocation with extension, presented with right knee pain and inability to actively extend. Imaging revealed lateral patellar dislocation, flat articular surface of the patella, and trochlear dysplasia. His symptoms persisted despite physical therapy. A 4-directional patellar stabilization surgery, incorporating lateral release, medial tibial tuberosity osteotomy, quadriceps muscle lengthening, and medial patellofemoral ligament reconstruction, was performed, with significant improvement in pain and function postoperatively.Conclusion: The procedure could be feasible in cases of severe HDP when conservative measures failed to relieve the patient's symptoms.\",\"PeriodicalId\":14748,\"journal\":{\"name\":\"JBJS case connector\",\"volume\":\"14 3\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JBJS case connector\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2106/JBJS.CC.24.00193\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JBJS case connector","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/JBJS.CC.24.00193","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

病例一名 22 岁的男子患有习惯性髌骨脱位（HDP），其特点是屈曲时外侧脱位，伸展时自发复位。影像学检查显示髌骨外侧脱位、髌骨关节面平坦和髌骨发育不良。尽管进行了物理治疗，但症状依然存在。他接受了四向髌骨稳定手术，包括外侧松解术、胫骨内侧结节截骨术、股四头肌延长术和髌股内侧韧带重建术，术后疼痛和功能明显改善：结论：对于保守疗法无法缓解症状的严重HDP病例，该手术是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Four-Direction Procedures Involving Tibial Tubercle Osteotomy for Habitual Dislocation of the Patella: A Case Report.

Case: A 22-year-old man with habitual dislocation of the patella (HDP), characterized by lateral dislocation in flexion with spontaneous relocation with extension, presented with right knee pain and inability to actively extend. Imaging revealed lateral patellar dislocation, flat articular surface of the patella, and trochlear dysplasia. His symptoms persisted despite physical therapy. A 4-directional patellar stabilization surgery, incorporating lateral release, medial tibial tuberosity osteotomy, quadriceps muscle lengthening, and medial patellofemoral ligament reconstruction, was performed, with significant improvement in pain and function postoperatively.

Conclusion: The procedure could be feasible in cases of severe HDP when conservative measures failed to relieve the patient's symptoms.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.