Reduction

An unreduced knee dislocation represents a true orthopedic emergency. A reduction should be performed expeditiously after completion of initial evaluation and radiographs. Following administration of appropriate sedatives, reduction is performed by applying gradual longitudinal traction through the ankle with manipulation of the proximal tibia in the appropriate direction. Following reduction, with the patient still sedated, a repeat examination of the stability of the knee can be performed. Reduction should be confirmed with radiographs. It is imperative to reassess the neurovascular status of the limb following manipulation.

Keep in mind that an anteromedial dimple sign indicates a posterolateral dislocation. In this setting, closed reduction is unlikely to be successful and probably should not be attempted.

Figure 56-4 Sagittal magnetic resonance images of multiligament knee injury showing anterior cruciate ligament disruption (A), posterior cruciate ligament disruption (B), and fibular collateral ligament disruption (C).

Figure 56-4 Sagittal magnetic resonance images of multiligament knee injury showing anterior cruciate ligament disruption (A), posterior cruciate ligament disruption (B), and fibular collateral ligament disruption (C).

Because of interposed soft tissue within the medial joint space, open reduction is warranted.20

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Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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