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Chapter 17 - Lower Limb Clinical Cases

Published online by Cambridge University Press:  22 April 2022

By
Faiz Shivji ,
Thomas Kurien ,
Karen Robinson  and
Fazal Ali
Edited by
Fazal Ali  and
Nick Harris
Fazal Ali
Affiliation:
Chesterfield Royal Hospital
Nick Harris
Affiliation:
Spire Hospital, Leeds
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Summary

This chapter includes clinical cases related to pathology in the hip, knee, foot and ankle and the lower limb in general. These include common conditions such as varus or valgus knee arthritis, hallux valgus and the cavovarus foot. Much less common conditions such as arthrodesis of the hip and knee, parameniscal cysts and poliomyelitis are also covered. The clinical findings related to each of these cases are explained.

Keywords

lower limbhipkneefootanklefixed flexionarthrodesispoliomyelitispatellectomyrotational abnormalities
Type
Chapter
Information
Orthopaedic Examination Techniques
A Practical Guide
 , pp. 300 - 315
Publisher: Cambridge University Press
Print publication year: 2022

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References

Thambyah, A, Hee, HT, Das De, S, Lee, SM. Gait adaptation in patients with longstanding hip fusion. J Orthop Surg 2003;11(2):154–158.CrossRefGoogle ScholarPubMed
Beaule, PE, Matta, JM, Mast, JW. Hip arthrodesis: current indications and techniques. J Am Acad Orthop Surg 2002;10(4):249–258. doi: 10.5435/00124635-200207000-00003.CrossRefGoogle ScholarPubMed
Jain, S, Giannoudis, PV. Arthrodesis of the hip and conversion to total hip arthroplasty. J Arthroplasty 2013;28(9):1596–1602. doi: 10.1016/j.arth.2013.01.025.CrossRefGoogle ScholarPubMed
Abram, SGF, Beard, DJ, Price, AJ, BASK Meniscal Working Group. Arthroscopic meniscal surgery a national society treatment guideline and consensus statement. Bone Joint J 2019 Jun;101 -B(6):652–659.CrossRefGoogle ScholarPubMed
Caldas, M, Braga, G, Mendes, S, Martins, da Silveira, J, Kopke, R. Posterior cruciate ligament injury: characteristics and associations of most frequent injuries. Rev Bras Ortop 2013 Oct 22;48(5):427–431. doi: 10.1016/j.rboe.2012.09.010.CrossRefGoogle ScholarPubMed
Skyhar, MJ, Warren, RF, Ortiz, GJ, Schwartz, E, Otis, JC. The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. J Bone Joint Surg Am 1993 May;75(5):694–699. doi: 10.2106/00004623-199305000-00008.Google Scholar
Lobenhoffer, P. Indication for unicompartmental knee replacement versus osteotomy around the knee. J Knee Surg 2017 Oct;30(8):769–773. doi: 10.1055/s-0037-1605558. Epub 2017 Aug 25.Google Scholar
Wilson, HA, Middleton, R, Abram, SGF, et al. Patient relevant outcomes of unicompartmental versus total knee replacement: systematic review and meta-analysis. BMJ 2019 Feb 21;364:l352. doi: 10.1136/bmj.l352.CrossRefGoogle ScholarPubMed
Lobenhoffer, P, Agneskirchner, JD. Osteotomy around the knee vs. unicondylar knee replacement. Orthopade 2014 Oct;43(10):923–929. doi: 10.1007/s00132-014-3011-x.CrossRefGoogle ScholarPubMed
Shivji, FS, Foster, A, Risebury, MJ, Wilson, AJ, Yasen, SK. Ten-year survival rate of 89% after distal femoral osteotomy surgery for lateral compartment osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc 2020;29(2):594–599. doi: 10.1007/s00167-020-05988-5.Google Scholar
Pandit, H, Jenkins, C, Beard, DJ, et al. Mobile bearing dislocation in lateral unicompartmental knee replacement. Knee 2010; 17(6):392–397.Google Scholar
MacDonald, JH, Agarwal, S, Lorei, MP, Johanson, NA, Freiberg, AA. Knee arthrodesis. J Am Acad Orthop Surg 2006;14(3):154–163.Google Scholar
Kernkamp, WA, Verra, WC, Pijls, BG, et al. Conversion from knee arthrodesis to arthroplasty: systematic review. Int Orthop 2016 Oct;40(10):2069–2074. doi: 10.1007/s00264-016-3150-2.CrossRefGoogle ScholarPubMed
Lennox, IA, Cobb, AG, Knowles, J, Bentley, G. Knee function after patellectomy. A 12 to 48 year follow up. J Bone Joint Surg Br 1994 May;76(3):485–487.Google Scholar
Sutton, FS Jr, Thompson, CH, Lipke, J, Kettlekemp, DB. The effect of patellectomy on knee function. J Bone Joint Surg Am 1976 June;58(4):537–540.Google Scholar
Dodds, A, Crowley, R, Menz, T, et al. Outcome following total knee replacement in patients with previous patellectomy. Acta Orthop Belg 2018;84:251–256.Google Scholar
Asadollah, S, Sorial, R, Coffey, S, et al. Total knee arthroplasty after patellectomy. A meta-analysis of case-control studies. Knee 2017 March;24(2):191–196.CrossRefGoogle Scholar
Nelitz, M. Femoral derotational osteotomies. Curr Rev Musculoskelet Med 2018 Jun;11(2):272–279.Google Scholar
Herron, ML, Kar, S, Beard, D, et al. Sensory dysfunction of the great toe in hallux valgus. J Bone Joint Surg 2004;86:54–57.Google Scholar
Fraissler, L, Konrads, C, Hoberg, M, Rudert, M, Walcher, M. Treatment of hallux valgus deformity. EFFORT Open Rev 2016 Aug;1(8):295–302. doi: 10.1302/2058-5241.1.000005.CrossRefGoogle ScholarPubMed
Brooks, F, Hariharan, K. The rheumatoid forefoot. Curr Rev Musculoskelet Med 2013 Dec; 6(4):320–327. doi: 10.1007/s12178-013-9178-7.Google Scholar
Myerson, MS. Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect 1997;46:393–405.Google ScholarPubMed
Beals, TC, Manoli, A. The ‘peek-a-boo’ heel sign in the evaluation of hindfoot varus. Foot 1996;6:205–206.CrossRefGoogle Scholar
Joseph, B, Watts, H. Polio revisited: reviving knowledge and skills to meet the challenge of resurgence. J Child Orthop 2015 Oct;9(5):325–338. doi: 10.1007/s11832-015-0678-4.CrossRefGoogle ScholarPubMed
Nandra, R, Forsberg, J, Grimer, R. If your lump is bigger than a golf ball and growing, think sarcoma. Eur J Surg Oncol 2015 Oct;41(10):1400–1405. doi: 10.1016/j.ejso.2015.05.017.CrossRefGoogle ScholarPubMed
Steiert, A, Gohritz, A, Knobloch, K, Krettek, C, Vogt, P. Damage control flap reconstruction. Plast Reconstr Surg 2009;124(3):1010–1011.Google Scholar

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