scholarly journals Congenital Dislocation of the Patella – Surgical Treatment Rationale and Literature Review

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Luisella Pedrotti ◽  
Barbara Bertani ◽  
Federica De Rosa ◽  
Federica Fossati ◽  
Margherita Ghilotti ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Joint Stiffness ◽  
Rare Condition ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Clinical Findings ◽  
Surgical Correction ◽  
Trochlear Groove ◽  
Congenital Dislocation ◽  
Dislocation Of The Patella

Introduction: Congenital dislocation of the patella (CDP) is a rare condition and its treatment is not well defined. In CDP, patella is dislocated on the lateral aspect of the distal femur, laterally from the trochlear groove, it cannot be reduced manually and it is almost always associated with genu valgum, lateral torsion of the proximal tibia, and flexion contracture of the knee. This condition is present at birth, but the clinical findings can be subtle at birth due to the size and character of the structures being examined; early diagnosis is essential, but it may be delayed to late childhood or adulthood. If CDP is not promptly treated, the disability increases during growth, so surgical correction should be planned as soon as the diagnosis is confirmed. Case Report: We report a case of bilateral CDP associated with bilateral proximal radioulnar joint stiffness; the patient at the age of diagnosis was 11 years old and underwent a bilateral delayed surgical procedure; the 4-year follow-up results are satisfactory. Surgical treatment rationale and literature are reviewed. Conclusion: Surgical correction for CDP is generally recommended, but there is no agreement in literature on the ideal treatment and in some cases, with mild impairment of the knee function, observation alone has been suggested. The decision about a surgical treatment can be difficult and depends on the degree of disability of the patient. Keywords: Congenital dislocation of the patella, bilateral congenital dislocation, patella, Z-plasty quadriceps muscle, lateral retinaculum release, lack of active knee extension.

scholarly journals Congenital Deformity of the Knee Joint: A Boy With Congenital Patella Alta

2020 ◽  
Author(s):  
Ramin Haj Zargarbashi ◽  
Saeed Shakiba ◽  
Farbod Yousefi ◽  
Mohammad Hossein Nabian ◽  
Behnam Panjavi
Keyword(s):  
Surgical Treatment ◽  
Rare Condition ◽  
Patella Alta ◽  
Congenital Deformity ◽  
High Position ◽  
Active Range Of Motion ◽  
Superior Dislocation ◽  
Surgical Treatments ◽  
Treatment And Diagnosis ◽  
Dislocation Of The Patella

ntroduction: Patella alta is an extremely rare condition, refers to an abnormally high position of the patella. Surgical treatment of habitual dislocation of the patella aims at a step-by-step correction of the abnormality. Case Presentation: A 4-year-old boy presented with a rare superior dislocation of the patella. Clinical examination and radiographs confirmed the dislocation of the patella. The patella was reduced with proper reduction technique under sedation, resulting in the improvement of active range of motion. onclusion: Congenital patella alta is a rare deformity in children. Treatment and diagnosis in the early stages are of our priority in the treatment. Our non-surgical treatment is our preferred treatment in this patient. The surgical treatment approach is performed in patients that have no response to non-surgical treatments.

scholarly journals Newborn Nasal Obstruction due to Congenital Nasal Pyriform Aperture Stenosis

2016 ◽  
Vol 7 (1) ◽  
pp. ar.2016.7.0146 ◽  
Author(s):  
Thiago L. I. Serrano ◽  
Leopoldo Pfeilsticker ◽  
Vanessa Silva ◽  
Igor Hazboun ◽  
Jorge Paschoal ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Respiratory Distress ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Treatment Strategies ◽  
Rare Condition ◽  
Surgical Correction ◽  
Severe Respiratory Distress ◽  
First Case ◽  
Pyriform Aperture

Introduction Nasal obstruction is an important condition that can lead to severe respiratory distress in newborns. There are several differential diagnoses, and one of them is congenital nasal pyriform aperture stenosis (CNPAS). CNPAS is a rare case of respiratory distress caused by excessive growth of the nasal process of the maxilla and leads to narrowing of the anterior third of the nasal cavity. Diagnosis, associated anomalies, and treatment strategies are reviewed by the following presentation of two cases. Case Presentation We report two cases of infants diagnosed with CNPAS. The patients in the first case had no concomitant comorbidities, and the outcome was successful after surgical correction of stenosis. The patient in the second case had an associated holoprosencephaly, and although surgical correction and nasal cavity patency, the patient remains dependent on tracheostomy due to dysphagia and neurologic impairment. Discussion Airway obstruction affects 1 in 5000 children, and CNPAS is a diagnosis frequently forgotten and even unknown to neonatal and pediatric intensivists. Newborns are obligate nasal breathers, and, nasal obstruction, therefore, can lead to severe respiratory distress. CNPAS is not only rare but, many times, is not easily recognized. It is important to bear in mind the diagnostic criteria when evaluating infants with nasal obstruction. Conservative treatment should be prioritized, but surgical treatment is required in severe cases with failure to thrive and persistent respiratory distress. Respiratory distress and dysphagia may persist to some degree despite correction of the stenotic pyriform aperture due to associated narrowing of the entire nasal cavity and association with other anomalies. Final Comments CNPAS is a rare condition and may be lethal in newborns. Differential diagnosis of nasal obstruction must be remembered to recognize this anomaly, and the otolaryngologist must be familiarized with this condition and its diagnosis. Precise surgical treatment in severe cases have high rates of success in children without other comorbidities.

Surgical Treatment for Congenital Dislocation of the Patella in a Young Adult

2019 ◽  
Vol 9 (4) ◽  
pp. e0196-e0196
Author(s):  
João Maia Rosa ◽  
André Dias Carvalho ◽  
Luís Lopes Coutinho ◽  
João Esteves ◽  
Paulo Pereira ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Young Adult ◽  
Congenital Dislocation ◽  
Dislocation Of The Patella

Solitary Rectal Ulcer Syndrome: Exploring Possible Management Options

2011 ◽  
Vol 96 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Turker Bulut ◽  
Emel Canbay ◽  
Sumer Yamaner ◽  
Mine Gulluoglu ◽  
Dursun Bugra
Keyword(s):  
Surgical Treatment ◽  
Rare Condition ◽  
Clinical Findings ◽  
Rectal Ulcer ◽  
Management Options ◽  
Disease Treatment ◽  
Solitary Rectal Ulcer ◽  
Solitary Rectal Ulcer Syndrome ◽  
Biofeedback Treatment ◽  
Postoperative Improvement

Abstract Solitary rectal ulcer syndrome (SRUS) is a rare condition with various causes that results in ischemic injury. The aim of this study was to assess the clinical findings, diagnosis, and outcomes of treatment in patients with SRUS. Between 1992 and 2006, a retrospective review was undertaken for all patients diagnosed with SRUS. Fifty-eight patients were diagnosed with SRUS. Among patients with paradoxic rectal spasm (PRS), lesions disappeared in 1 of 3 given applied biofeedback treatment, and in 2 of 4 injected with Botulinum toxin (BotoxTM). Twenty-three patients underwent appropriate surgical treatment. Overall, postoperative improvement was seen in 18 patients (78.2%). In conclusion, every patient with SRUS must be assessed for causative disease. Treatment should include conservative approaches such as Botox injection; in patients with pelvic floor disorders, surgical treatment should be considered.

scholarly journals Efficacy and safety of condylectomy with minimally invasive surgery in the treatment of interdigital corns of the lesser toes compared to conservative treatment

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Luis M. Marti-Martinez ◽  
Rubén Lorca-Gutierrez ◽  
Salvador Pedro Sánchez-Pérez ◽  
Jonatan Garcia-Campos ◽  
Nadia Fernández Ehrling ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Treatment Group ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Functional Status ◽  
Invasive Surgery ◽  
Joint Stiffness ◽  
Efficacy And Safety ◽  
Clinical And Functional Status

Abstract Background Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. Methods This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. Results At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p <  0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. Conclusions Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.

Congenital dislocation of the patella — the genetics and conservative management

The Knee ◽  
1998 ◽  
Vol 5 (3) ◽  
pp. 235-237 ◽  
Author(s):  
A.H.N. Robinson ◽  
A. Aladin ◽  
A.J. Green ◽  
D.J. Dandy
Keyword(s):  
Conservative Management ◽  
Congenital Dislocation ◽  
Dislocation Of The Patella

scholarly journals Secondary venous aneurysm following intravenous drug abuse: A case report

2016 ◽  
Vol 73 (5) ◽  
pp. 500-503 ◽  
Author(s):  
Miroslav Markovic ◽  
Marko Dragas ◽  
Igor Koncar ◽  
Igor Banzic ◽  
Sinisa Pejkic ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Drug Application ◽  
Rare Condition ◽  
Intravenous Drug ◽  
Venous Aneurysm ◽  
General Surgeon ◽  
Venous Flow

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.

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