Knee Dislocation

Two case reports of acute traumatic knee dislocation. One with an associated vascular injury; the other without.

Transcript

1. Knee  Disloca,on   Kenrick Turner, Dave “Proteus” Cash, Neil Walton
2. WR            21yo          ♂   •  Hyperextension  injury  to  le&  knee  playing  rugby   •  High  level  rugby  player  –  played  for  Mauri8us   •  A&E  in  Wales   •  Allegedly  had  a  vascular  review  –  no  formal  imaging   •  MRI  Knee:  PCL,  ACL,  posterolateral  corner  injury   •  Preop  Assessment:  Impalpable  le&  DP  +PT   •  ABPI:  0.5  Le&,  1.1  Right   •  CT  Angio:  Occluded  le&  popliteal  artery   •  Surgery:  mul8ligament  reconstruc8on  w/o  torniquet  
6. LM            24yo          ♂   •  RTC:    Pedestrian  vs.  Car   •  Alterca8on  with  girlfriend  &  aPempted  to  get  into  car   •  Girlfriend  aPempted  to  drive  away,  hiRng  pa8ent   •  A&E  @  QEH:   •  Acute  trauma8c  complete  lateral  disloca8on   •  MUA  +  cricket  pad  splint  in  theatre   •  CT  Angio  @  QEH  on  admission:  No  vascular  injury   •  MRI:  PCL,  ACL,  MCL  +  posterolateral  corner  injury   •  Planned  Surgery:  Multligament  reconstruc8on
10. Thank  you   Slides  @  h5p://goo.gl/ce7NG