Injection-induced contractures of the quadriceps during childhood.
A total of 8 cases affected with injection-induced contractures of the quadriceps occurring in 7 patients were followed-up at the Division of Pediatric Orthopaedics at the Rizzoli Orthopaedic Institute. Mean age was 8 years (minimum 5, maximum 9). Surgery involved arthromyolysis according to Judet whether or not associated with distal reconstruction of the quadriceps. Mean follow-up was 9 years (3-17). Mean increase in passive flexion of the knee was 70 degrees, while deficit in active extension was observed in 50% of cases. The clinical aspects indispensable for diagnosis, the therapeutic choices, the surgical method reported in the literature and the results obtained using this method are all discussed.
Di Gennaro
G L
GL
Divisione di Ortopedia Pediatrica I.O.R., Bologna.
Rossi
R
R
Donzelli
O
O
D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D008297:Male; D013848:Thigh