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Mitten deformity

Volume 7 | Issue 1 | January-April 2021 | Page: 27 | Yashdeep Singh Pathania Authors: Yashdeep Singh Pathania MD [1] [1] Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur 342005, India. Address of Correspondence Dr. Yashdeep Singh Pathania Senior Resident, Department of Dermatology, Venereology and Leprology, All India Institute […]

Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature

Volume 7 | Issue 1 | January-April 2021 | Page: 22-26 | Mudit Shah, Amin Shah, Mandar Agashe Authors: Mudit Shah MBBS, MS Ortho. [1], Amin Shah MBBS, MS Ortho.[2], Mandar Agashe MBBS, MS Ortho.[3] [1] Director and CEO, Sapna Healthcare centre, Ghatkopar west, Mumbai, Maharashtra, India. [2] Fellow of Paediatric Orthopaedic, Dr. Agashe`s Maternity […]

Mitten deformity

Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature

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Mitten deformity

Volume 7 | Issue 1 | January-April 2021 | Page: 27 | Yashdeep Singh Pathania

Authors: Yashdeep Singh Pathania MD [1]

[1] Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur 342005, India.

Address of Correspondence
Dr. Yashdeep Singh Pathania
Senior Resident, Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur 342005, India.
Email: yashdeepsinghpathania@gmail.com

A 10-year-old boy, a known case of severe recessive dystrophic epidermolysis bullosa since childhood, presented with widespread scarring over scalp, face, upper and lower limbs. Hands and feet showed flexion contracture, anonychia. There was fusion of digits of the feet by a thin membrane of scar tissue producing pseudosyndactyly, known as mitten deformity (Figure 1). In pseudosyndactyly, digits are fused together by thin membrane and involve only the distal portion of digits, which can be released through surgery where as in syndactyly actual and complete fusion of digits occur and involve base of the digits.

Figure: Scarring over legs with flexion contracture and pseudosyndactyly of foot.

How to Cite this Article: Singh Pathania Y | Mitten deformity | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 27.

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Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature

Volume 7 | Issue 1 | January-April 2021 | Page: 22-26 | Mudit Shah, Amin Shah, Mandar Agashe

Authors: Mudit Shah MBBS, MS Ortho. [1], Amin Shah MBBS, MS Ortho.[2], Mandar Agashe MBBS, MS Ortho.[3]

[1] Director and CEO, Sapna Healthcare centre, Ghatkopar west, Mumbai, Maharashtra, India.
[2] Fellow of Paediatric Orthopaedic, Dr. Agashe`s Maternity & Surgical Nursing Home, Kurla west, Mumbai, Maharashtra, India Mumbai, Maharashtra, India.
[3] Consultant paediatric Orthopaedic surgeon, Dr. Agashe`s Maternity & Surgical Nursing Home, Kurla west, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Mandar Agashe,
Consultant paediatric Orthopaedic surgeon, Dr. Agashe`s Maternity & Surgical Nursing Home, Kurla west, Mumbai, Maharashtra, India.
E-mail: mandarortho@gmail.com

Abstract

Intra-articular patella dislocations are uncommon, but the majority of cases can be reduced by closed methods. We present a rare case that required open reduction and highlight the reasons and present a review of the same.
We describe a rare case of horizontal intra-articular patella dislocation associated with an intact periosteal sleeve and extensor retinaculum in a 13-year-old boy requiring open reduction.
Horizontal intra-articular patellar dislocation is an uncommon injury, especially in the adolescent age group. Open reduction should only be performed if closed reduction is unsuccessful.
Keywords: Horizontal intra-articular dislocation of patella, Intact periosteal sleeve, Open reduction.

References

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2. Uluyardımcı E, Bozkurt İ, Öçgüder DA, Yalçın N. Unusual Horizontal Patellar Dislocation Reduced without General Anesthesia. JBJS Case Connect [Internet]. 2019 Jan;9(1):e2. Available from: http://insights.ovid.com/crossref an=01709767-201903000-00003.
3. Rangdal S, Bachhal V, Vashisht S, Dhillon MS. Intra-articular dislocation of the patella: a rare variant to an uncommon injury. BMJ Case Rep [Internet]. 2019 Apr 24;12(4). Available from: http://www.ncbi.nlm.nih.gov/pubmed/31023730.
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6. Fithian DC, Paxton EW, Stone M Lou, Silva P, Davis DK, Elias DA, et al. Epidemiology and natural history of acute patellar dislocation. Am J Sports Med [Internet]. 32(5):1114–21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15262631.
7. Kramer DE, Simoni MK. Horizontal intra-articular patellar dislocation resulting in quadriceps avulsion and medial patellofemoral ligament tear: a case report. J Pediatr Orthop B [Internet]. 2013 Jul;22(4):329–32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22828187.
8. Tsai C-H, Hsu C-J, Hung C-H, Hsu H-C. Primary traumatic patellar dislocation. J Orthop Surg Res [Internet]. 2012;7(1):21. Available from: http://josr-online.biomedcentral.com/articles/10.1186/1749-799X-7-21.
9. Venkatesh Gupta SK, H P P, Prathik R, Jeetesh L. Traumatic Intra-articular Intercondylar Dislocation of the Patella Reduced by the Closed Method with Open Quadriceps Repair in an Adolescent: A Rare Case Report. Cureus [Internet]. 2018 Dec 8; Available from: https://www.cureus.com/articles/14706-traumatic-intra-articular-intercondylar-dislocation-of-the-patella-reduced-by-the-closed-method-with-open-quadriceps-repair-in-an-adolescent-a-rare-case-report.
10. McHugh G, Ryan E, Cleary M, Kenny P, O’Flanagan S, Keogh P. Intra-Articular Dislocation of the Patella. Case Rep Orthop [Internet]. 2013;2013:1–3. Available from: http://www.hindawi.com/journals/crior/2013/535803/
11. Al Khalifa A, Syed K. Intra-articular dislocation of patella with femoral impaction—A case report and review of literature. Int J Surg Case Rep [Internet]. 2019;59:176–9. Available from: https://doi.org/10.1016/j.ijscr.2019.05.041.
12. van den Broek TAA, Moil PJ. Horizontal rotation of the patella: A case report with review of the literature. Acta Orthop Scand [Internet]. 1985 Jan 8;56(5):436–8. Available from: http://www.tandfonline.com/doi/full/10.3109/17453678508994367.
13. Berenger V, Pesenti S, Ollivier M, Buord J-M, Pinelli P-O. Traumatic inter-condylar dislocation of the patella: Report of two cases. Orthop Traumatol Surg Res [Internet]. 2013 Dec;99(8):979–81. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1877056813002077.
14. Potini VC, Gehrmann RM. Intra-Articular Dislocation of the Patella With Associated Hoffa Fracture in a Skeletally Immature Patient. Am J Orthop (Belle Mead NJ) [Internet]. 2015 Jun;44(6):E195-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26047005.

How to Cite this Article: Shah M, Shah A, Agashe M | Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 22-26.

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Mitten deformity

Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature

Mitten deformity

Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature

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Mitten deformity

Authors: Yashdeep Singh Pathania MD [1]

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Horizontal Intra-articular dislocation of patella with intact periosteal sleeve in an adolescent: Case report and review of literature

Authors: Mudit Shah MBBS, MS Ortho. [1], Amin Shah MBBS, MS Ortho.[2], Mandar Agashe MBBS, MS Ortho.[3]

Abstract

References

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