先天性膝关节脱位：形态学研究

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

论证：先天性膝关节脱位（CDK）是一种罕见的肌肉骨骼系统异常，发病率为每10万活产婴儿中就有1例。文献分析表明，描述这种病理特征的解剖变化的孤立研究，主要在手术治疗中发现。

目的：根据尸体解剖材料研究先天性膝关节脱位的膝关节韧带及大腿肌肉的病理形态学特征。

材料与方法。本研究包括两个妊娠期为18周、20周的自然流产后双侧先天性膝关节脱位胎儿和一个妊娠期为29周的双侧先天性膝关节脱位死产胎儿。对照组为两个妊娠18周、20周的自然流产胎儿和一个妊娠25周无下肢畸形的死产胎儿。

结果。组织学检查发现各种解剖结构的紊乱和移位，以及软组织退行性营养不良的改变。对照组无病理形态学改变。

结果。所检测到的病理形态学改变是所研究胎儿先天性膝关节脱位的主要表现。

全文:

受限制的访问

作者简介

Igor Kruglov

Almazov National Medical Research Centre

编辑信件的主要联系方式.
Email: dr.gkruglov@gmail.com
ORCID iD: 0000-0003-1234-1390

MD, paediatric orthopaedic surgeon, junior researcher of Research Laboratory of Congenital and Hereditary Pathology Surgery

俄罗斯联邦, Saint Petersburg

Olga Agranovich

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: olga_agranovich@yahoo.com
ORCID iD: 0000-0002-6655-4108
SPIN 代码: 4393-3694
http://www.rosturner.ru/kl10.htm

MD, PhD, D.Sc., Supervisor of the Department of Arthrogryposis

俄罗斯联邦, Saint Petersburg

Nicolai Rumyantsev

Almazov National Medical Research Centre

Email: dr.rumyantsev@gmail.com
ORCID iD: 0000-0002-4956-6211

MD, Paediatric Orthopaedic Surgeon

俄罗斯联邦, Saint- Petersburg

Olga Razmologova

Almazov National Medical Research Centre

Email: or1973@yandex.ru
ORCID iD: 0000-0001-7073-899X

MD, PhD, pathologist, Head of the Department of Pathological Anatomy Polenov Russian Neurosurgical Institute

俄罗斯联邦, Saint Petersburg

Andrey Kolobov

St. Petersburg State University

Email: pathandrey@rambler.ru
ORCID iD: 0000-0003-3713-7484

MD, PhD, pathologist, Associate Professor, Department of Pathology, Faculty of Medicine

俄罗斯联邦, Saint Petersburg

Gamzat Omarov

H. Turner National Medical Research Centre for Children’s Orthopedics and Trauma Surgery

Email: ortobaby@yandex.ru
ORCID iD: 0000-0002-9252-8130

MD, PhD, Research Associate

俄罗斯联邦, Saint-Petersburg

Danil Kleshch

Children’s Regional Clinical Hospital

Email: danilklesh@mail.ru
ORCID iD: 0000-0002-4903-985X

MD, paediatric orthopaedic surgeon

俄罗斯联邦, Krasnodar

Natalia Rumiantceva

Almazov National Medical Research Centre

Email: natachazlaya@mail.ru
ORCID iD: 0000-0002-2052-451X

MD, Paediatric Orthopaedic Surgeon, Junior Researcher of Research Laboratory of Congenital and Hereditary Pathology Surgery

俄罗斯联邦, Saint- Petersburg

参考

  1. Curtis BH, Fisher RL. Congenital hyperextension with anterior subluxation of the knee. Surgical treatment and long-term observation. J Bone Surg Am. 1969;51(2):255-269. https://doi.org/10.2106/00004623-196951020-00005.
  2. Katz MP, Grogono BJ, Soper KC. The etiology and treatment of congenital dislocation of the knee. J Bone Joint Surg Br. 1967;49(1):112-120. https://doi.org/10.1302/0301-620x.49b1.112.
  3. Laurence M. Genu recurvatum congenitum. J Bone Surg. 1967;49(1):121-134. https://doi.org/10.1302/0301-620x.49b1.121.
  4. Niebauer J, King E. Congenital dislocation of the knee. J Bone Joint Surg Am. 1960;42:207-225. https://doi.org/10.2106/00004623-196042020-00002.
  5. Tachdjian MO. Pediatric orthopaedics. 2nd ed. Philadelphia: W.B. Saunders; 1990.
  6. Potel GF. Etude sur Les Malformations Congenitales du Genou. [dissertation] Danel; 1897.
  7. Jacobsen K, Vopalecky F. Congenital dislocation of the knee. Acta Orthop Scand. 1985;56(1):1-7. https://doi.org/10.3109/17453678508992968.
  8. Bensahel H, Dal Monte A, Hjelmstedt A, et al. Congenital dislocation of the knee. J Pediatr Orthop. 1989;9(2):174-177.
  9. Middleton DS. The pathology of congenital genu recurvatum. Br J Surg. 1935;22(88):696-702. https://doi.org/10.1002/bjs.1800228807.
  10. Patwardhan S, Shah K, Shyam A, Sancheti P. Assessment of clinical outcome ofpercutaneous needle quadriceps tenotomy in the treatment of congenital knee dislocation. Int Orthop. 2015;39(8):1587-1592. https://doi.org/10.1007/s00264-015-2806-7.
  11. Matar HE, Garg NK. Management of joint dislocation of the lower limb in Larsen syndrome: Practical approach. Ann R Coll Surg Engl. 2017;99:e8-e10. https://doi.org/10.1308/rcsann.2016.0258.
  12. Youssef AO. Limited open quadriceps release for treatment of congenital dislocation of the knee. J Pediatr Orthop. 2017;37(3):192-198. https://doi.org/10.1097/bpo.0000000000000612.
  13. Madadi F, Tahririan MA, Karami M, Madadi F. Complicated congenital dislocation of the knee: A case report. Arch Bone Jt Surg. 2016;4(4):396-398.
  14. Kaissi AA, Ganger R, Klaushofer K, Grill F. The management of knee dislocation in a child with Larsen syndrome. Clinics (Sao Paulo). 2011;66(7):1295-1299. https://doi.org/10.1590/s1807-59322011000700030.
  15. Tercier S, Shah H, Joseph B. Quadricepsplasty for congenital dislocation of the knee and congenital quadriceps contracture. J Child Orthop. 2012;6(5):397-410. https://doi.org/10.1007/s11832-012-0437-8.
  16. Uhthoff HK, Ogata S. Early intrauterine presence of congenital dislocation of the knee. J Pediatr Orthop. 1994;14(2):254-257. https://doi.org/10.1097/01241398-199403000-00023.
  17. Кондратьев С.А., Забродская Ю.М., Размологова О.Ю., и др. Патоморфологические особенности полинейропатии критических состояний у пациентов в персистирующем вегетативном состоянии и состоянии «малого сознания» // Российский нейрохирургический журнал имени проф. Л.А. Поленова. – 2013. – Т. 5. – № 4. – С. 48–53. [Kondratyev SA, Zabrodskaya YM, Razmologova OY, et al. Pathomorphological features of critical illness polyneuromyopathy in patients with persistent vegetative state and “small state of consciousness”. Russian neurosurgical journal named after professor A.L. Polenov. 2013;5(4):48-53. (In Russ.)]
  18. Fernandez-Palazzi F, Silva JR. Congenital dislocation of the knee. Int Orthop. 1990;14(1):17-19. https://doi.org/10.1007/bf00183357.
  19. Provenzano F. Congenital dislocation of the knee; report of a case. N Engl J Med. 1947;236(10):360-362. https://doi.org/10.1056/nejm194703062361003.
  20. McFarland BL. Congenital dislocation of the knee. J Bone Joint Surg. 1929;11(2):281-285.
  21. Корлякова М.Н., Воронин Д.В., Карпов К.П., Румянцев Н.Ю. Изолированный врожденный вывих коленного сустава, ультразвуковая пренатальная диагностика и исходы: описание клинических наблюдений // Медицинская визуализация. – 2014. – № 1. – С. 110–117. [Korlyakova MN, Voronin DV, Karpov KP, Rumyantsev NY. Isolated congenital dislocation of the knee, ultrasound prenatal diagnosis and outcomes: description of clinical cases. Medical visualization. 2014;(1):110-117. (In Russ.)]
  22. Gorincour G, Chotel F, Rudigoz RC, et al. Prenatal diagnosis of congenital genu recurvatum following amniocentesis complicated by leakage. Ultrasound Obstet Gynecol. 2003;22(6):643-645. https://doi.org/10.1002/uog.884.
  23. Barber MA, Equiluz I, Plasencia W, et al. Prenatal features of genu recurvatum and genu flexum. Int J Gynaecol Obstet. 2009;105(3):267-268. https://doi.org/10.1016/j.ijgo.2009.01.015.
  24. Lage JA, Guarniero R, de Barros Filho TE, de Camargo OP. Intrauterine diagnosis of congenital dislocation of the knee. J Pediatr Orthop. 1986;6(1):110-111. https://doi.org/10.1097/01241398-198601000-00023.
  25. Elchalal U, Itzhak IB, Ben-Meir G, Zalel Y. Antenatal diagnosis of congenital dislocation of the knee: A case report. Am J Perinatol. 1993;10(3);194-196. https://doi.org/10.1055/s-2007-994717.
  26. Bell MJ, Atkins RM, Sharrad WJ. Irreducible congenital dislocation of the knee. Aetiology and management. J Bone Joint Surg Br. 1987;69(3):403-406. https://doi.org/10.1302/0301-620x.69b3.3584194.
  27. Johnson E, Audell R, Oppenheim WL. Congenital dislocation of the knee. J Pediatr Orthop. 1987;7(2):194-200. https://doi.org/10.1097/01241398-198703000-00017.
  28. Bensahel H, Dal Monte A., et al. Congenital dislocation of the knee. J Pediatr Orthop. 1989;9:174-177. https://doi.org/10.1097/01202412-198909020-00011.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Kruglov I., Agranovich O., Rumyantsev N., Razmologova O., Kolobov A., Omarov G., Kleshch D., Rumiantceva N., 2021

Creative Commons License
此作品已接受知识共享署名 4.0国际许可协议的许可
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС77-54261 от 24 мая 2013 г.