Non-surgical management of a tibiofemoral knee dislocation in a patient with sarcoidosis.

Abstract

This case presents a patient who sustained a knee dislocation, and who due to her diagnosis of sarcoidosis, other comorbidities, and prolonged use of corticosteroids, external fixation and physical therapy were implemented versus soft tissue reconstruction/repair. Research indicates worse functional outcomes with non-surgical treatment, and guidelines on optimising outcomes in this population are lacking. Integrated care of the patient-even when complex injuries and comorbid medical conditions are present-can lead to positive functional recovery, despite previous data. Evidence from related injuries can be successfully adapted in non-surgical management of these injuries, providing general treatment guidelines.

• Authors: Daniel Flowers, Margaret Olmedo
• Journal: BMJ case reports (BMJ Case Rep) Vol. 12 Issue 11 (Nov 02 2019) ISSN: 1757-790X [Electronic] England
• PMID: 31678917 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Topics

• Activities of Daily Living
• Adult
• Anterior Cruciate Ligament Injuries (complications)
• Conservative Treatment
• Exercise Therapy (methods)
• Female
• Humans
• Hypertension (complications)
• Knee Dislocation (complications, therapy)
• Sarcoidosis (complications)