Abstract
An acute knee dislocation is an uncommon injury, with a high rate of associated vascular and neurologic injuries as well as potentially limb-threatening complications. High-energy trauma is the most common cause of an acute knee dislocation, although lower-energy injuries, such as those sustained during athletic competition, are increasing in incidence. Injuries to the popliteal artery and common peroneal nerve are relatively common, requiring a high index of suspicion and complete neurovascular examination in a timely fashion. All cases of suspected knee dislocation should have an ankle-brachial index performed, reserving arteriography for those with an abnormal finding. Initial management consists of closed reduction, if possible, and application of a hinged brace or external fixator. Definitive management remains an area of controversy, although anatomic surgical repair or reconstruction is favored by most surgeons to help optimize knee function. Most patients treated for a knee dislocation can expect to return to their daily activities, but with less predictable returns to sporting activities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 101-111 |
| Number of pages | 11 |
| Journal | Physician and Sportsmedicine |
| Volume | 38 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 2010 |
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Keywords
- Dislocation
- Knee
- Ligament injury
- Vascular injury
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Diagnosis and management of knee dislocations. / Peskun, Christopher J.; Levy, Bruce A.; Fanelli, Gregory C.; Stannard, James P.; Stuart, Michael J.; MacDonald, Peter B.; Marx, Robert G.; Boyd, Joel L.; Whelan, Daniel B.
In: Physician and Sportsmedicine, Vol. 38, No. 4, 12.2010, p. 101-111.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnosis and management of knee dislocations
AU - Peskun, Christopher J.
AU - Levy, Bruce A.
AU - Fanelli, Gregory C.
AU - Stannard, James P.
AU - Stuart, Michael J.
AU - MacDonald, Peter B.
AU - Marx, Robert G.
AU - Boyd, Joel L.
AU - Whelan, Daniel B.
PY - 2010/12
Y1 - 2010/12
N2 - An acute knee dislocation is an uncommon injury, with a high rate of associated vascular and neurologic injuries as well as potentially limb-threatening complications. High-energy trauma is the most common cause of an acute knee dislocation, although lower-energy injuries, such as those sustained during athletic competition, are increasing in incidence. Injuries to the popliteal artery and common peroneal nerve are relatively common, requiring a high index of suspicion and complete neurovascular examination in a timely fashion. All cases of suspected knee dislocation should have an ankle-brachial index performed, reserving arteriography for those with an abnormal finding. Initial management consists of closed reduction, if possible, and application of a hinged brace or external fixator. Definitive management remains an area of controversy, although anatomic surgical repair or reconstruction is favored by most surgeons to help optimize knee function. Most patients treated for a knee dislocation can expect to return to their daily activities, but with less predictable returns to sporting activities.
AB - An acute knee dislocation is an uncommon injury, with a high rate of associated vascular and neurologic injuries as well as potentially limb-threatening complications. High-energy trauma is the most common cause of an acute knee dislocation, although lower-energy injuries, such as those sustained during athletic competition, are increasing in incidence. Injuries to the popliteal artery and common peroneal nerve are relatively common, requiring a high index of suspicion and complete neurovascular examination in a timely fashion. All cases of suspected knee dislocation should have an ankle-brachial index performed, reserving arteriography for those with an abnormal finding. Initial management consists of closed reduction, if possible, and application of a hinged brace or external fixator. Definitive management remains an area of controversy, although anatomic surgical repair or reconstruction is favored by most surgeons to help optimize knee function. Most patients treated for a knee dislocation can expect to return to their daily activities, but with less predictable returns to sporting activities.
KW - Dislocation
KW - Knee
KW - Ligament injury
KW - Vascular injury
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U2 - 10.3810/psm.2010.12.1832
DO - 10.3810/psm.2010.12.1832
M3 - Article
C2 - 21150149
AN - SCOPUS:78650258848
VL - 38
SP - 101
EP - 111
JO - The Physician and sportsmedicine
JF - The Physician and sportsmedicine
SN - 0091-3847
IS - 4
ER -