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A case of excessive femoral anteversion which caused instability of the medial collateral ligament of the knee joint
http://hdl.handle.net/10069/38599
http://hdl.handle.net/10069/385990901be94-daca-49fc-ae69-dd80f47b4e31
名前 / ファイル | ライセンス | アクション |
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AMS34_17.pdf (4.9 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-09-27 | |||||
タイトル | ||||||
タイトル | A case of excessive femoral anteversion which caused instability of the medial collateral ligament of the knee joint | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | case report | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Derotation osteotomy of femur | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Equinus foot | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Excessive femoral anteversion | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Laxity of medial collateral ligament | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Limb lengthening | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Matsubayashi, Shohei
× Matsubayashi, Shohei× Tsujimoto, Ritsu× Osaki, Makoto |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Introduction: The most cases of excessive femoral anteversion may be asymptomatic, because the he hip joint is a ball joint. However, when the hip, knee, or ankle joint is in a pathological state, excessive femoral anteversion may not be compensated for and induce symptoms. Case report: A 16-year-old female with achondroplasia. Medullary compression by the odontoid process caused right hemiplegia at 10 months after birth and equinus foot concomitantly developed. At 14 years old, right knee pain developed during walking. For treatment, firstly, tenodesis of medial collateral ligament of the knee joint (MCL) was performed. Oblique osteotomy was applied to the proximal MCL attachment site over the distal tibial tuberosity, followed by simple limb lengthening, which improved knee instability. To prevent recurrence of knee instability, varus and derotationosteotomy of the femur and Vulpius procedure (triceps surae muscle lengthening) were additionally performed, and gait stabilized after surgery. Discussion: Regarding the pathogenesis, her gait was originally in-toeing because of excessive femoral anteversion, but the lower leg did not internally rotate during walking because of equinus foot, and the foot grounded in an externally rotated position, loading burdens on the MCL. This condition may have gradually caused instability of the knee over the years. Conclusion: We surgically treated the patient with knee joint valgus instability caused by excessive femoral anteversion and equinus foot and achieved a favorable outcome. | |||||
書誌情報 |
Annals of Medicine and Surgery 巻 34, p. 17-22, 発行日 2018-10 |
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出版者 | ||||||
出版者 | Elsevier Ltd | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 20490801 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.amsu.2018.08.018 | |||||
権利 | ||||||
権利情報 | c 2018 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/). | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Annals of Medicine and Surgery, 34, pp.17-22; 2018 |