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Hongkong University Shenzhen Hospital
X-Ray after immediate close reduction
Hongkong University Shenzhen Hospital
Ultrasound after CR
The arteries and veins of lower limbs are normal
Treatment
Close reduction and plaster immobilization 30 to 45 degrees of knee flexion Immediate surgery indications: arterial injuries,
Hongkong University Shenzhen Hospital
Right ACL & PCL &MCL rupture
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
ACL &PCL Reconstruction
joint laxity PE: Deformity，the pulse , sensation, movement of
the foot is normal No chest and abdomen injury
Hongkong University Shenzhen Hospital
07-15th X-Ray
Arthroscopic assisted arthrolysis due to stiffness(1Biblioteka Baidu-80 degree) on 24th September
Hongkong University Shenzhen Hospital
Re-check MRI (28th Oct)
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Diagnosis
Deformity Pain Swelling Pay more attention to those cases: Spontaneous
reduction before medical evaluation
Hongkong University Shenzhen Hospital
MRI (3 days post reduction)
Hongkong University Shenzhen Hospital
MCL repair (23th July)
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
CLASSIFICATION
open or closed high velocity, low velocity, or ultralow velocity; anterior, posterior, medial, lateral, or rotary
Hongkong University Shenzhen Hospital
Schneck classification
Hongkong University Shenzhen Hospital
Associated Injury
Vascular injury Ligament injury Nerve injury Fracture Osteochondral fracture Meniscal tears
Hongkong University Shenzhen Hospital
Vascular injury
The first priority in the assessment and treatment of traumatic dislocations of the knee is :The vascular status
Hongkong University Shenzhen Hospital
17/M Falling injury
Case 2
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Be received PLC reconstruction 20th April
Hongkong University Shenzhen Hospital
ACL &PCL reconstruction
Hongkong University Shenzhen Hospital
Case 3
M/42 Be hurted by a falling object 5 months ago
Ankle Brachial Pressure Index (ABPI)
Hongkong University Shenzhen Hospital
Treatment Algorithm for knee dislocation
Hongkong University Shenzhen Hospital
PE: Lachman test (-) Anterior and posterior draw test(+-) Step-off sign(+) Sag sign(+) ROM:5-120 degree
Hongkong University Shenzhen Hospital
PCL Reconstruction(4th Nov)
TRAUMATIC KNEE DISLOCATIONS
Hongkong University Shenzhen Hospital
Case 1
M/25 Company man Car accident Good past health，No other joint dislocation, No
X-Ray after immediate close reduction
Hongkong University Shenzhen Hospital
Ultrasound after CR
The arteries and veins of lower limbs are normal
Treatment
Close reduction and plaster immobilization 30 to 45 degrees of knee flexion Immediate surgery indications: arterial injuries,
Hongkong University Shenzhen Hospital
Right ACL & PCL &MCL rupture
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
ACL &PCL Reconstruction
joint laxity PE: Deformity，the pulse , sensation, movement of
the foot is normal No chest and abdomen injury
Hongkong University Shenzhen Hospital
07-15th X-Ray
Arthroscopic assisted arthrolysis due to stiffness(1Biblioteka Baidu-80 degree) on 24th September
Hongkong University Shenzhen Hospital
Re-check MRI (28th Oct)
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Diagnosis
Deformity Pain Swelling Pay more attention to those cases: Spontaneous
reduction before medical evaluation
Hongkong University Shenzhen Hospital
MRI (3 days post reduction)
Hongkong University Shenzhen Hospital
MCL repair (23th July)
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
CLASSIFICATION
open or closed high velocity, low velocity, or ultralow velocity; anterior, posterior, medial, lateral, or rotary
Hongkong University Shenzhen Hospital
Schneck classification
Hongkong University Shenzhen Hospital
Associated Injury
Vascular injury Ligament injury Nerve injury Fracture Osteochondral fracture Meniscal tears
Hongkong University Shenzhen Hospital
Vascular injury
The first priority in the assessment and treatment of traumatic dislocations of the knee is :The vascular status
Hongkong University Shenzhen Hospital
17/M Falling injury
Case 2
Hongkong University Shenzhen Hospital
Hongkong University Shenzhen Hospital
Be received PLC reconstruction 20th April
Hongkong University Shenzhen Hospital
ACL &PCL reconstruction
Hongkong University Shenzhen Hospital
Case 3
M/42 Be hurted by a falling object 5 months ago
Ankle Brachial Pressure Index (ABPI)
Hongkong University Shenzhen Hospital
Treatment Algorithm for knee dislocation
Hongkong University Shenzhen Hospital
PE: Lachman test (-) Anterior and posterior draw test(+-) Step-off sign(+) Sag sign(+) ROM:5-120 degree
Hongkong University Shenzhen Hospital
PCL Reconstruction(4th Nov)
TRAUMATIC KNEE DISLOCATIONS
Hongkong University Shenzhen Hospital
Case 1
M/25 Company man Car accident Good past health，No other joint dislocation, No