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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Case report
Non-surgical management of a tibiofemoral knee dislocation in a patient with sarcoidosis
  1. Daniel Flowers1 and
  2. Margaret Olmedo2
  1. 1 Rehabilitation Sciences, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  2. 2 Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA
  1. Correspondence to Dr Daniel Flowers; dflowe{at}lsuhsc.edu

Abstract

This case presents a patient who sustained a knee dislocation, and who due to her diagnosis of sarcoidosis, other comorbidities, and prolonged use of corticosteroids, external fixation and physical therapy were implemented versus soft tissue reconstruction/repair. Research indicates worse functional outcomes with non-surgical treatment, and guidelines on optimising outcomes in this population are lacking. Integrated care of the patient—even when complex injuries and comorbid medical conditions are present—can lead to positive functional recovery, despite previous data. Evidence from related injuries can be successfully adapted in non-surgical management of these injuries, providing general treatment guidelines.

  • orthopaedics
  • physiotherapy (rehabilitation)
  • knee injuries
  • ligament rupture

https://doi.org/10.1136/bcr-2019-229605

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    Footnotes

    • Contributors DF and MO contributed to the planning and conduct of this work as they both cared for the patient collaboratively. Both authors (DF and MO) contributed either to the writing (DF) and/or review/editing (DF and MO) and approval of the final content (DF and MO) of this work.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.