Paediatria Croatica, Vol. 61 No. 1, 2017.
Stručni rad
https://doi.org/10.13112/PC.2017.4
Bilateral congenital knee dislocation associated with bilateral developmental hip deformities
Gordana Miličić
; Klinika za dječje bolesti Zagreb
Marijana Šimić
Davor Bojić
Josip Vlaić
Tomislav Ribičić
Ozren Vrdoljak
Darko Antičević
Ida Matić
Marko Miličić
Sažetak
Congenital knee dislocation is a relatively rare entity, especially if associated with other joint deformities. We present a case of a girl
with both congenital knee and hip dislocations who was followed-up for four years. She was fi rst referred to our department when
she was three weeks old. Radiographic and ultrasound examinations, as well as genetic tests excluded Larsen’s syndrome and
arthrogryposis. Traction on the vertical plane was applied to make closed hip reduction easier, after which we started serial knee
casting. When reduced, hips were stabilized by Hilgenreiner’s orthosis, which enabled casting of the knees to be continued and
fi nished successfully. After stabilization of the hips and knees, Pavlik’s harness was applied for two months. The treatment took seven
months and all the steps were followed by radiographic and ultrasound imaging when needed.
Ključne riječi
knee dislocation – congenital, therapy; hip dislocation, congenital, therapy
Hrčak ID:
184292
URI
Datum izdavanja:
28.3.2017.
Posjeta: 1.780 *