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J Pediatr Orthop B ; 25(6): 573-81, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26990056

RESUMO

Fibrous tether at the distal femur is a rare condition that causes angular deformity of the lower extremity; only 18 cases have been reported previously. We report the case of a 2-year-old boy presenting with unilateral genu valgus. The patient had a subsequent lateral patellar dislocation, 1 year after surgical correction. A second surgery was performed to correct this patellar dislocation. Intraoperative finding indicated contracted lateral patellar retinaculum. To the best of our knowledge, this is the first report of such a finding. The natural history is still not understood. At the 6-month-follow-up visit, the patient still has good results without recurrent patellar dislocation or angular deformity. We also review the literature in terms of proper treatment and results of treatment.


Assuntos
Fêmur/cirurgia , Geno Valgo/etiologia , Geno Valgo/cirurgia , Articulação do Joelho/cirurgia , Luxação Patelar/cirurgia , Tíbia/cirurgia , Pré-Escolar , Seguimentos , Humanos , Masculino , Osteotomia/métodos
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