Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Irreducible Acute Patellar Dislocation with Anatomical Variant: Notched Patella

해부학적 변이에 의한 정복 되지 않는 급성 슬개골 탈구: 슬개골의 내측 절흔

  • Na, Hwa-Yeup (Department of Orthopedic Surgery, Bundang Jesaeng Hospital) ;
  • Song, Woo-Suk (Department of Orthopedic Surgery, Bundang Jesaeng Hospital) ;
  • Lee, Joo-Young (Department of Orthopedic Surgery, Bundang Jesaeng Hospital)
  • Received : 2020.04.07
  • Accepted : 2020.07.11
  • Published : 2021.06.30
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Abstract

Most acute patella dislocations can be reduced closely using a spontaneous or simple maneuver, but it may not be possible if accompanied the by anomalies, such as rotation of the patella, osteophyte ridge protruding from the femur, or anatomical variations. This case report outlines irreducible acute patella dislocation with anatomical variations, a notched patella. If the reduction of an acute patella dislocation fails, an additional radiological examination and reduction under general anesthesia may be necessary with the possibility of an anatomical variant in mind.

대부분의 급성 슬개골 탈구는 자발적 정복 혹은 간단한 술기에 의하여 도수정복이 가능하나 슬개골의 회전, 대퇴골 외과의 골극 능선 돌출, 혹은 해부학적 변이 등의 이상 동반 시 도수정복이 불가능할 수 있다. 본 증례에서는 슬개골의 내측 절흔에 의한 정복되지 않는 급성 슬개골 탈구에 대하여 보고하는 바이다. 슬개골 탈구 환자에서 정복 실패 시, 해부학적 변이 가능성을 염두에 둔 추가적인 영상의학적 검사 및 전신 마취하 정복이 요구된다.

Keywords

References

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