儿童先天性髌骨脱位  

Congenital Dislocation of Patella in Children

作　　者：孙洁[1] 俞辉国[1] 

机构地区：[1]上海第二医科大学瑞金医院儿外科,上海200025

出　　处：《临床小儿外科杂志》2005年第2期91-93,100,共4页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨先天性髌骨脱位的病理、诊断和治疗。方法报道4例穴5膝雪先天性髌骨脱位,结合文献资料进行回顾和分析。结果四例均经手术治疗,术后恢复良好。随访1～6年,平均3年。摄片检查示髌骨脱位纠正,异常步态消失,4膝伸屈活动改善接近正常,1膝为5°～120°,结果满意。结论儿童的先天性髌骨脱位是一种极少见的畸形,只要仔细检查,根据ConnGeen标准,不难做出诊断。获得良好疗效的关键是彻底松解外侧所有挛缩的软组织,恢复和稳定正常的股四头肌伸膝装置。Objective To review the experience in the pathology, diagnosis and treatment of congenital dislocation of the patella in children. Methods Clinical data of four children with congenital dislotation of the patella （five knee joints, 3 boys and 1 girls）, were analyzed retrospectively and compared with the relevant literature at domestic and international. Results One patient was misdiagnosedas ＂Rickets＂. All cases recovered were followed-up periodically 2-6 years（average 3 years） after the operation,X-ray film showed palella reduction,abnormal gait disappear, the outcome was satisfactory. Extension flexion movement of the knee was near to normal in four knees, one knee can crook to 50°-120°.Conclusions The disease is a rare deformity,the same time it is easily confused with recurrent dislocation of the patella. If only the surgeon careful dose examination according to connGeen criteria,its diagnosis is not difficulty.The keys of favorable therapeutic outcome are throughout loosening all the lateral spasmodic soft tissue, recovering and stabilizing the knee extension device of normal quadriceps femoris.

关 键 词：脱位 髌骨 

分 类 号：R726.8[医药卫生—儿科]