Femoral neuropathy due to patellar dislocation in a theatrical and jazz dancer: a case report.
This case report describes a teenage female, high-level modern dancer who suffered multiple left patellar dislocations. Her history is atypical in that after her fifth dislocation, her recovery was hindered secondary to persistent weakness and atrophy of her quadriceps out of proportion to disuse alone. Electrodiagnostic studies and magnetic resonance imaging showed evidence of a subacute femoral neuropathy correlating chronologically with her most recent patellar dislocation. This case suggests that further diagnostic study may be warranted in patients with persistent quadriceps weakness or atrophy after a patellar dislocation, because this may suggest the presence of a femoral neuropathy. This is important because the strength training goals and precautions differ in disuse atrophy and a neuropathy. We believe this is the first reported case of a femoral neuropathy associated with the mechanism of a patellar dislocation.
Shin
Chris S
CS
Department of Physical Medicine and Rehabilitation, University of California-Davis, UCD Medical Center, 4860 Y Street, Ste. 3850, Sacramento, CA 95817, USA.
Davis
Brian A
BA
D000293:Adolescent; D001915:Braces; D003615:Dancing / Q000293:injuries*; D004568:Electrodiagnosis; D005260:Female; D020428:Femoral Neuropathy / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D031222:Patellar Dislocation / Q000150:complications* / Q000628:therapy; D026741:Physical Therapy Modalities