Popliteal artery thrombosis and compartment syndrome in a knee dislocation, a case report
Lucía Vilella-Llop, Marianna Affinito, José Eugenio Belarra-Gorrochategui
Abstract
Complete knee dislocation (CSF) is an uncommon lesion that should receive immediate attention due to the danger of secondary complications. Anterior dislocations are the most frequently observed, revealing usually concomitant complications of the stabilizing structure of the knee and is often accompanied by neurovascular lesions, including popliteal thrombosis and compartment syndrome. According to that, the literature reveals different approach in the diagnosis process to despite this complications attending to the physical exploration as well as the mechanism of the injury. According to that, closed reduction in the operation room to resolve the dislocation and confirm suspected complications are also suggested.
A purpose of a case of a patient with a complete anterior dislocation of the left knee, we summarize a brief review of this pathology.
Keywords
References
1. Peskun CJ, Levy BA, Fanelli GC, Stannard JP, Stuart MJ, MacDonald PB, et al. Diagnosis and management of knee dislocations. Phys Sportsmed. 2010;38(4):101-11. doi: 10.3810/psm.2010.
2. Seroyer ST, Musahl V, Harner CD. Management of the acute knee dislocation: the Pittsburgh experience. Injury. 2008;39(7):710-8. doi: 10.1016/j.injury.2007.11.022.
3. Klineberg EO, Crites BM, Flinn WR, Archibald JD, Moorman CT 3rd. The role of arteriography in assessing popliteal artery injury in knee dislocations. J Trauma. 2004;56(4):786-90. doi: 10.1097/01.ta.0000075346.05460.d6
4. Rihn JA, Groff YJ, Harner CD, Cha PS. The acutely dislocated knee: evaluation and management. J Am Acad Orthop Surg. 2004;12(5):334-46.
5. Konda SR, Kester BS, Fisher N, Behery OA, Crespo AM, Egol KA. Acute Compartment Syndrome of the Leg. J Orthop Trauma. 2017. Suppl 3:S17-S18. doi: 10.1097/BOT.0000000000000894.
6. Niall DM, Nutton RW, Keating JF. Palsy of the common peroneal nerve after traumatic dislocation of the knee. J Bone Joint Surg Br. 2005;87(5):664-7.
7. Kapur S, Wissman RD, Robertson M, Verma S, Kreeger MC, Oostveen RJ. Acute knee dislocation: review of an elusive entity. Curr Probl Diagn Radiol. 2009;38(6):237-50. doi: 10.1067/j.cpradiol.2008.06.001.
8. Arnold C, Fayos Z, Bruner D, Arnold D. Managing dislocations of the hip, knee, and ankle in the emergency department Emerg Med Pract. 2017;19(12):1-28.
Submitted date:
10/01/2019
Reviewed date:
10/10/2019
Accepted date:
10/17/2019
Publication date:
10/17/2019