Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Knee Dislocation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 811 records · Page 45Linked to original sources
PubMedDate not supplied

Luxatio erecta of the hip. An interesting case report.

This is a case report of an inferior dislocation of the hip in a 5 1/2-year-old child, characterized by acute flexion with slight abduction of the hip and flexion of the knee. The dislocation is reducible by traction in a cephalad direction, gradual extension and internal rotation of the hip.

Child, Preschool↗
PubMedDate not supplied

Dynamic posterior shift test. An adjuvant in evaluation of posterior tibial subluxation.

The dynamic posterior shift test, a clinical method for evaluating both straight posterior instability and posterolateral rotatory instability, (PLRI), is a simple, dynamic, and reliable (reproducible) test that serves as an adjuvant to other clinical tests designed to evaluate an injury or insufficiency of posterior structures in the knee. The examiner maintains the hip at near 90 degrees of flexion to control rotation of the femur while slowly extending the knee passively. The hamstrings should be stretched to maintain their tightness. The tightened hamstrings assist gravity in subluxating the tibia posteriorly; they also provide dynamic axial loading to the joint as the knee is extended. In knees with posterior instability, the posteriorly subluxated tibia suddenly reduces as the knee joint nears full extension, and a jerk or "clunk" is felt by both the patient and the examiner. Thus, the patient's feeling of instability is reproduced by the test. We have used the dynamic posterior shift test for 5 years (as an adjuvant in our physical examination) to evaluate signs of posterior instability of the knee. Not only is the test reliable, but it is more definitive than other tests in evaluating straight posterior instability and PLRI. It is easy to perform and the results are reproducible. Because this test is dynamic rather than passive, it enhances the accuracy of evaluating posterior instability of the knee.

Biomechanical Phenomena↗
PubMed1996

Pain reduction after anteromedial displacement of the tibial tuberosity: 5-year follow-up in 21 knees with patellofomoral arthrosis.

We performed anteromedial displacement of the tibial tuberosity in 21 knees of 16 patients having patellofemoral arthrosis with lateral subluxation. The mean age of the patients was 53 (47-65) years and they were followed for 5(2-13) years. Preoperatively, all knees were painful on descending or ascending stairs; pain was relieved after operation in 20. Retropatellar crepitations disappeared in 2 of 20 knees, but retropatellar pain when squeezing the patella against the femur disappeared in 16 of 17 knees. Patellar subluxation diminished in all knees.

Aged↗
PubMed1982

[Ligamentous lesions of the knee joint (author's transl)].

In a 10 years period (1971 to 1980) 648 patients underwent 811 operations because of ligamentous lesions of the knee joint. 63.3% of them occurred due to sports activities. 41.2% of these patients were 15 to 30 years of age. The most satisfying functional results can be obtained by a primary suture of the injured ligaments within the first 3 days after the accident. In this way, a subsequent arthrosis may be prevented. Due to the fact that only 5.0% of our patients could be operated on until the third day after the injury, but 31.0% within 3 months, 70.7% of them already suffered from chondromalacia when the operation of the lesion was performed. In this case the plastic repair has to take into account the damage to the cartilage which happened meanwhile. The most predominant instability of the knee joint is situated anteromedially.

Fracture Fixation, Internal↗
PubMed2003

Strain on the human sciatic nerve in vivo during movement of the hip and knee.

Injuries to the sciatic nerve are an occasional complication of surgery to the hip and acetabulum, and traction is frequently the causative mechanism. In vitro and animal experiments have shown that increased tensile strain on peripheral nerves, when applied for prolonged periods, impairs nerve function. We have used video-extensometry to measure strain on the human sciatic nerve during total hip replacement (THR). Ten consecutive patients with a mean age of 72 years undergoing primary THR by the posterior approach were recruited, and strains in the sciatic nerve were measured in different combinations of flexion and extension of the hip and knee, before dislocation of the hip. Significant increases (p = 0.02) in strain in the sciatic nerve were observed in flexion of the hip and extension of the knee. The mean increase was 26% (19% to 30%). In animal studies increases of this magnitude have been shown to impair electrophysiological function in peripheral nerves. Our results suggest that excessive flexion of the hip and extension of the knee should be avoided during THR.

Aged↗