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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 […]

Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts

Volume 7 | Issue 1 | January-April 2021 | Page: 55-64 | Praveen Bhardwaj, Darshan Kumar A Jain, Maulin M Shah, Rujuta Mehta, Badarinath Athani Authors: Praveen Bhardwaj MS Ortho., DNB Ortho. FNB [1], Darshan Kumar A Jain MS Ortho., FNB [2], Maulin M Shah MS Ortho. [3], Rujuta Mehta MS Ortho. DNB Ortho. [4], Badarinath […]

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

Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts

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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.
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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.
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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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Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts

Volume 7 | Issue 1 | January-April 2021 | Page: 55-64 | Praveen Bhardwaj, Darshan Kumar A Jain, Maulin M Shah, Rujuta Mehta, Badarinath Athani

Authors: Praveen Bhardwaj MS Ortho., DNB Ortho. FNB [1], Darshan Kumar A Jain MS Ortho., FNB [2],
Maulin M Shah MS Ortho. [3], Rujuta Mehta MS Ortho. DNB Ortho. [4], Badarinath Athani MS Ortho., DNB (PMR) [5]

[1] Consultant Hand and Reconstructive Microsurgeon, Ganga Hospital, Coimbatore, Tamil Nadu, India.
[2] Consultant Hand and Reconstructive Microsurgeon. Ramaiah Hospitals, Bangalore, Karnataka, India.
[3] Consultant Paediatric Orthopaedic Surgeon, Orthokids Clinic, Ahmedabad, Gujarat, India.
[4] HOD Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India.
[5] Principle consultant Safdarjung Hospital, Vardhaman Mahavir Medical College, New Delhi, India.

Address of Correspondence
Dr. Praveen Bhardwaj ,
Consultant Hand and Reconstructive Microsurgeon, Ganga Hospital, Coimbatore, Tamil Nadu, India.
E-mail: drpb23@gmail.com

Abstract

The variable presentation of the sequelae of brachial plexus birth palsy (BPBP) at the elbow, forearm and wrist and their association with much extensive brachial plexus involvement makes reconstruction at these levels demanding . Functional limitation and cosmetic concern are common indications for surgical intervention. This article presents a synopsis of the incidence, pathogenesis, clinical presentation and parental concerns related to these deformities, decision-making considerations, management strategies and expected outcome for correction of these deformities. Deformities at the forearm and wrist can be often corrected simultaneously as they could be interrelated. The pattern of deformities, their severity and their impact on the overall function of the limb and parental concern differ. Each child needs a tailor-made management plan, weighing the expected outcome against parental expectation.
Keywords: Brachial plexus birth palsy, Forearm deformity, Supination deformity, Elbow flexion deformity, Pronation deformity, Ulnar deviation deformity.

References

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12. Nath RK, Somasundaram C. Biceps Tendon Lengthening Surgery for Failed Serial Casting Patients with Elbow Flexion Contractures Following Brachial Plexus Birth Injury. Eplasty. 2016;16: e24.
13. Vekris MD, Pafilas D, Lykissas MG, Soucacos PN, Beris AE. Correction of elbow flexion contracture in late obstetric brachial plexus palsy through arthrodiatasis of the elbow (Ioannina method). Tech Hand Up Extrem Surg. 2010;14(1):14-20. doi:10.1097/BTH.0b013e3181c848cb
14. Bhardwaj P, Venkatramani H, Sabpathy SR. Forearm deformities in birth brachial plexus palsy- Deformity profile and correction strategy. Presented at- Asia Pacific Hand Surgery Meet at Melbourne, March 2020. https://apfssh2020.org/downloads/APFSSH-APFSHT-Program-&-Abstract-Book.pdf| 12APFSSH/8APFSHT [Internet]. [cited 2020 Aug 18]. Available from: https://apfssh2020.org/program-wednesday.php
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How to Cite this Article: Bhardwaj P, Jain DA, Shah MM, Mehta R, Athani B | Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts | International Journal of Paediatric
Orthopaedics | January-April 2021; 7(1): 55-64.

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Half Sized Blog Element (Multi Author Style)

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

Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts

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

Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts

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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

(Article Text HTML) (Download PDF)

Elbow, Forearm and Wrist Issues in Brachial Plexus Birth Palsy: Current Concepts

Authors: Praveen Bhardwaj MS Ortho., DNB Ortho. FNB [1], Darshan Kumar A Jain MS Ortho., FNB [2],
Maulin M Shah MS Ortho. [3], Rujuta Mehta MS Ortho. DNB Ortho. [4], Badarinath Athani MS Ortho., DNB (PMR) [5]

Abstract

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Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

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

Abstract

References

Authors: Praveen Bhardwaj MS Ortho., DNB Ortho. FNB [1], Darshan Kumar A Jain MS Ortho., FNB [2], Maulin M Shah MS Ortho. [3], Rujuta Mehta MS Ortho. DNB Ortho. [4], Badarinath Athani MS Ortho., DNB (PMR) [5]

Abstract

References

License

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Authors: Praveen Bhardwaj MS Ortho., DNB Ortho. FNB [1], Darshan Kumar A Jain MS Ortho., FNB [2],
Maulin M Shah MS Ortho. [3], Rujuta Mehta MS Ortho. DNB Ortho. [4], Badarinath Athani MS Ortho., DNB (PMR) [5]