Revista Brasileira de Ortopedia (Feb 2016)

Congenital dislocation of the patella - clinical case

  • Pedro Miguel Sá,
  • Filipa Raposo,
  • Manuel Santos Carvalho,
  • Nuno Alegrete,
  • Jorge Coutinho,
  • Gilberto Costa

DOI
https://doi.org/10.1016/j.rboe.2015.12.010
Journal volume & issue
Vol. 51, no. 1
pp. 109 – 112

Abstract

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ABSTRACT Congenital patellar dislocation is a rare condition in which the patella is permanently dislocated and cannot be reduced manually. The patella develops normally as a sesamoid bone of the femur. This congenital dislocation results from failure of the internal rotation of the myotome that forms the femur, quadriceps muscle and extensor apparatus. It usually manifests immediately after birth, although in some rare cases, the diagnosis may be delayed until adolescence or adulthood. Early diagnosis is important, thereby allowing surgical correction and avoiding late sequelae, including early degenerative changes in the knee. A case of permanent dislocation of the patella is presented here, in a female child aged seven years.

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