Summary
Recent “distorsion” injuries of the knee joint should be diagnosed with great precision. While injuries that do not produce instability should be treated conservatively, early surgical repair is the treatment of choice for the unstable knee. If a reliable evaluation is not possible, a general anesthetic is required; arthroscopy is reserved for special questions. Dislocation of the knee is a true surgical emergency. The vascular insult caused by the severe injury requires immediate attention.
Keywords
Schlüsselwörter
Zusammenfassung
Distorsionen am Kniegelenk bedürfen einer genauen diagnostischen Abklärung um zu beurteilen, welche Verletzungsfolgen einer operativen bzw. funktionell konservativen Behandlung bedürfen. Die klinische respektive Narkoseuntersuchung stellt das sicherste Verfahren bei ligamentären Verletzungen dar, die Arthroskopie bleibt speziellen Fragestellungen vorbehalten. Kniegelenksluxationen stellen aufgrund des hohen Anteiles von Gefäß- und Nervenbegleitverletzungen chirurgische Notfälle dar und bedürfen einer raschen diagnostischen Abklärung und Behandlung.
Keywords
Schlüsselwörter
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Gelbermann RH, Amin D, Gonsalves M, Woo S, Akeson H (1981) The Influence of protective passive Mobilization on the Healing of Flexor Tendons: A biochemical and Microangiographic Study. Hand 13:120–128
Indelicato PA (1983) Non-Operative Treatment of Complete Tears of the Medial Collateral Ligament of the Knee. J Bone Joint Surg 65-A:323–329
Kennedy JC (1963) Complete Dislocation of the Knee Joint. J Bone Joint Surg 45-A:889–904
Kennedy JC, Hawkins RJ, Willis RB, Danylchuk KD (1976) Tension Studies of Human Knee Ligaments. J Bone Joint Surg 58-A:350–355
Müller W (1982) Das Knie. Springer, Berlin Heidelberg New York
Ottlenghi CE, Traversa CH (1974) Vascular and Nervous Complications in Injuries of the Knee Joint. Reconstr Surg Traumat vol. 14, Karger, Basel, pp 114–135
Palmer I (1938) On the Injuries of the Ligaments of the Knee Joint. A clinical study. Acta Chir Scand. 81 (Suppl):53
Saggau W, Laubach K (1974) Behandlung der verletzten Arteria poplitea. Fortschr Med 17:719–721
Slocum DB, Larson RL (1968) Rotatory Instability of the Knee. J Bone Joint Surg 50-A:211–225
Shields L, Mital M, Cave EF (1969) Complete Dislocation of the Knee: Experience at the Massachusetts General Hospital. J Trauma 9:192–215
Taylor AR, Arden GP, Rainey HA (1972) Traumatic Dislocations of the Knee. A Report of Forty-three Cases with Special Reference to Conservative Treatment. J Bone Joint Surg 54-B:96–102
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Wentzensen, A. (1988). Distorsionen und Luxationen großer Gelenke — Kniegelenk. In: Verhandlungen der Deutschen Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie, vol 1988. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48161-1_48
Download citation
DOI: https://doi.org/10.1007/978-3-642-48161-1_48
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-50433-7
Online ISBN: 978-3-642-48161-1
eBook Packages: Springer Book Archive