Open reduction of traumatic dislocation of the hip in a child case report and a review of the literature

Purpose : Present a case of dislocation of an Implantable Collamer Lens (ICL) that occurs after blunt trauma and review the published literature on this topic. Methods : Case report and literature review using PubMed. Results : A 44 year-old male presented to the emergency department with sudden onset of blurry vision after blunt trauma to the left eye. Three years prior, he had undergone bilateral ICL placement for high myopia. On examination, the superotemporal haptic was noted to be dislocated into the anterior chamber, but there was no endothelial touch by the dislocated lens. The patient had an associated hyphema that was medically managed, and 2 weeks after the injury, the patient underwent ICL repositioning. A review of the literature was performed and five previous cases of ICL dislocation were identified. Three of these occurred after blunt trauma. One of these cases was associated with endothelial touch and decompensation and eventually required a descement’s stripping endothelial keratoplasty (DSAEK). Conclusion : Dislocation of ICLs after blunt trauma is a rare but important potential sequela of the procedure and can lead to corneal decompensation if there is lens-endothelial touch. All patients who suffer blunt dislocation of ICL should be followed long-term after repositioning for signs of endothelial loss and dysfunction.

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Luxación traumática aguda de la articulación tibioperonea proximal. Reporte de un caso y revisión bibliográfica. [Acute traumatic dislocation of the proximal tibiofibular joint: case report and review of the literature].

Revista de la Asociación Argentina de Ortopedia y Traumatología ◽

10.15417/issn.1852-7434.2018.83.3.758 ◽

2018 ◽

Vol 83 (3) ◽

pp. 192

Author(s):

Jessica Andrea Suárez Zarrate ◽

Sebastian Rodriguez Serna ◽

Roy Arturo Reyes ◽

Jairo Gallo Diaz ◽

César Rocha Libreros

Keyword(s):

Case Report ◽

Proximal Tibiofibular Joint ◽

Review Of The Literature ◽

Traumatic Dislocation ◽

Tibiofibular Joint

La luxación tibioperonea proximal es poco común, se relaciona con lesiones deportivas, como consecuencia de un trauma en rotación con el pie en inversión y flexión plantar, la rodilla en flexión y la pierna en rotación externa simultáneamente. Provoca dolor en la región lateral de la rodilla y la pierna, con arcos de movilidad completos de la rodilla, pero dolorosos. El diagnóstico es clínico y radiológico. Es una entidad que pasa inadvertida en el Servicios de Urgencias (60%), con consecuencias funcionales y biomecánicas si no se diagnostica oportunamente. El objetivo es describir la experiencia diagnóstica y el tratamiento ortopédico de una entidad inusual en trauma de rodilla. Se presenta a un paciente de 23 años que sufrió una caída patinando y refiere protuberancia proximal en la cara lateral de la pierna izquierda, edema, dolor y limitación para extender la rodilla.

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