Low-velocity knee dislocation.
Complete knee dislocation is an uncommon but potentially devastating injury with a reported high rate of neurovascular injury. Treatment of this ligamentous injury is controversial. The operative (repair of all ligaments) and nonoperative management of ligament injuries appears to result in a stiff knee (decreased range of motion [ROM]), and/or a significant incidence of clinical instability and pain. We report our data on low-velocity knee dislocations and present a treatment plan of noninvasive assessment of the vascular status, a stabilizing procedure centered on posterior cruciate ligament reconstruction (PCL) and an aggressive rehabilitation program that can result in improved ROM, acceptable stability, and a more optimal functional outcome.
Shelbourne
K D
KD
Methodist Sports Medicine Center, Indianapolis, Indiana.
Porter
D A
DA
Clingman
J A
JA
McCarroll
J R
JR
Rettig
A C
AC
D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000628:therapy*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000534:rehabilitation / Q000628:therapy*; D007718:Knee Injuries / Q000503:physiopathology / Q000534:rehabilitation / Q000628:therapy*; D007719:Knee Joint / Q000000981:diagnostic imaging; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D013708:Tendon Injuries; D013710:Tendons / Q000601:surgery