Secondary Knee Osteoarthritis due to Neurofibromatosis Type 1 Treated with above the Knee Amputation: A Case Report.
Identifieur interne : 001893 ( PubMed/Checkpoint ); précédent : 001892; suivant : 001894Secondary Knee Osteoarthritis due to Neurofibromatosis Type 1 Treated with above the Knee Amputation: A Case Report.
Auteurs : Jay Patel [États-Unis] ; Jeffrey Whiting ; Daniel JonesSource :
- Case reports in orthopedics [ 2090-6749 ] ; 2013.
Abstract
Background. Neurofibromatosis Type 1 (NF-1) has a variety of associated orthopaedic manifestations that have been previously reported. We report a case of severe, grade 4 knee osteoarthritis (OA) with recurrent subluxation and joint laxity due to multiple extra-articular neurofibromas ultimately treated with Above the Knee Amputation (AKA). Case Description. A 39-year-old man presented with multiple neurofibromas and lymphedema leading to degenerative changes of the knee. Conservative treatment failed due to the severity of the knee degeneration and patient discomfort. Likewise, arthroplasty was not possible due to poor bone quality and joint instability. Therefore, AKA was selected to relieve symptoms and provide functional improvement. six months after the procedure the patient has increased functional capacity for ambulation and activities of daily living, as well as significant decrease in pain and discomfort. Clinical Relevance. Extra-articular neurofibromas causing severe secondary OA in relatively young patients can be functionally improved with AKA and prosthetic device use.
DOI: 10.1155/2013/782106
PubMed: 23936704
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Neurofibromatosis Type 1 (NF-1) has a variety of associated orthopaedic manifestations that have been previously reported. We report a case of severe, grade 4 knee osteoarthritis (OA) with recurrent subluxation and joint laxity due to multiple extra-articular neurofibromas ultimately treated with Above the Knee Amputation (AKA). Case Description. A 39-year-old man presented with multiple neurofibromas and lymphedema leading to degenerative changes of the knee. Conservative treatment failed due to the severity of the knee degeneration and patient discomfort. Likewise, arthroplasty was not possible due to poor bone quality and joint instability. Therefore, AKA was selected to relieve symptoms and provide functional improvement. six months after the procedure the patient has increased functional capacity for ambulation and activities of daily living, as well as significant decrease in pain and discomfort. Clinical Relevance. Extra-articular neurofibromas causing severe secondary OA in relatively young patients can be functionally improved with AKA and prosthetic device use.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">23936704</PMID><DateCreated><Year>2013</Year><Month>08</Month><Day>12</Day></DateCreated><DateCompleted><Year>2013</Year><Month>08</Month><Day>12</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2090-6749</ISSN><JournalIssue CitedMedium="Print"><Volume>2013</Volume><PubDate><Year>2013</Year></PubDate></JournalIssue><Title>Case reports in orthopedics</Title><ISOAbbreviation>Case Rep Orthop</ISOAbbreviation></Journal><ArticleTitle>Secondary Knee Osteoarthritis due to Neurofibromatosis Type 1 Treated with above the Knee Amputation: A Case Report.</ArticleTitle><Pagination><MedlinePgn>782106</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1155/2013/782106</ELocationID><Abstract><AbstractText>Background. Neurofibromatosis Type 1 (NF-1) has a variety of associated orthopaedic manifestations that have been previously reported. We report a case of severe, grade 4 knee osteoarthritis (OA) with recurrent subluxation and joint laxity due to multiple extra-articular neurofibromas ultimately treated with Above the Knee Amputation (AKA). Case Description. A 39-year-old man presented with multiple neurofibromas and lymphedema leading to degenerative changes of the knee. Conservative treatment failed due to the severity of the knee degeneration and patient discomfort. Likewise, arthroplasty was not possible due to poor bone quality and joint instability. Therefore, AKA was selected to relieve symptoms and provide functional improvement. six months after the procedure the patient has increased functional capacity for ambulation and activities of daily living, as well as significant decrease in pain and discomfort. Clinical Relevance. Extra-articular neurofibromas causing severe secondary OA in relatively young patients can be functionally improved with AKA and prosthetic device use.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Jay</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Orthopaedic Department, Saint Louis University, 3635 Vista Boulevard, St. Louis, MO 63104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Whiting</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Jones</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>07</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Case Rep Orthop</MedlineTA><NlmUniqueID>101591806</NlmUniqueID><ISSNLinking>2090-6757</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Orthop Surg (Hong Kong). 2006 Apr;14 (1):64-6</RefSource><PMID Version="1">16598090</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Orthop Relat Res. 1995 May;(314):37-44</RefSource><PMID Version="1">7634649</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Med Genet. 1997 May 16;70(2):138-43</RefSource><PMID Version="1">9128932</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Med Sci Monit. 2009 Jul;15(7):CS113-6</RefSource><PMID Version="1">19564830</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg. 2009 Jun;249(6):1014-22</RefSource><PMID Version="1">19474676</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>JAMA. 1997 Jul 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uniqKey="Jones D" first="Daniel" last="Jones">Daniel Jones</name><name sortKey="Whiting, Jeffrey" sort="Whiting, Jeffrey" uniqKey="Whiting J" first="Jeffrey" last="Whiting">Jeffrey Whiting</name></noCountry><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Patel, Jay" sort="Patel, Jay" uniqKey="Patel J" first="Jay" last="Patel">Jay Patel</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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