A Rare Closed Reduction of Posterolateral Dislocation with Medial Collateral Ligament (MCL) Injury : A Case Report

Ritzky Pratomo Affan, Taufan Adityawardhana, Fira Soraya

Abstract


Introduction: Irreducible posterolateral dislocation of the knee is a rare condition. Due to limited reports available, it is a common dilemma whether closed reduction should be attempted at all or an open surgery is the only method. “Dimple Sign'' can be found in the presence of injured medial structure, including the medial collateral ligament rupture (MCL), failure to recognize this sign may lead to repeated attempts of close manual reduction where could lead to secondary soft tissue injuries. Case Report : In this study we present a 50 years old male with successful attempt of closed reduction in posterolateral knee dislocation combined with tendon repair for the MCL rupture. Conclusion: This study may add more perspective and be beneficial for similar cases where prompt open surgery is not possible and closed reduction is considered.


Keywords


Closed Reduction, Dimple Sign, Irreducible, MCL Rupture, Posterolateral Knee Dislocation

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References


Tateda S, Takahashi A, Aizawa T, Umehara J. Closed reduction of “irreducible” posterolateral knee dislocation-a case report. Journal of orthopaedic case reports. 2016 Apr;6(2):20.

Xu H, Guo R, Xu B. An irreducible posterolateral knee dislocation: diagnosis, arthroscopic view, and treatment. The American journal of emergency medicine. 2016 Nov 1;34(11):2256-e3.

Hussin P, Mawardi M, Ab Halim AH. A rare variant of knee dislocation. Il Giornale di chirurgia. 2016 Mar;37(2):71.

Malik, SS. and MacDonald, PB. The Irreducible Knee Dislocation. The journal of knee surgery.2020;33(4):328-334.

Woon CY, Hutchinson MR. Posterolateral dislocation of the knee: Recognizing an uncommon entity. World journal of orthopedics. 2016 Jun 18;7(6):401.

Solarino G, Notarnicola A, Maccagnano G, Piazzolla A, Moretti B. Irreducible posterolateral dislocation of the knee: a case report. Joints. 2015 Apr;3(2):91.

Margheritini F, Espregueira-Mendes J, Gobbi A. Complex Knee Ligament Injuries. Springer Berlin Heidelberg; 2019.

Dedmond BT, Almekinders LC. Operative versus nonoperative treatment of knee dislocations: a meta-analysis. The American journal of knee surgery. 2001 Jan 1;14(1):33-8.

Holmes CA, Bach Jr BR. Knee dislocations: immediate and definitive care. The Physician and sportsmedicine. 1995 Nov 1;23(11):69-82.

Sillanpää PJ, Kannus P, Niemi ST, Rolf C, Felländer-Tsai L, Mattila VM. Incidence of knee dislocation and concomitant vascular injury requiring surgery: a nationwide study. Journal of Trauma and Acute Care Surgery. 2014 Mar 1;76(3):715-9.




DOI: https://doi.org/10.33854/heme.v4i2.902

DOI (PDF): https://doi.org/10.33854/heme.v4i2.902.g396

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