medigraphic.com
ENGLISH

Revista Cubana de Ortopedia y Traumatología

  • Mostrar índice
  • Números disponibles
  • Información
    • Información general        
    • Directorio
  • Publicar
    • Instrucciones para autores        
  • medigraphic.com
    • Inicio
    • Índice de revistas            
    • Registro / Acceso
  • Mi perfil

2017, Número 1

Revista Cubana de Ortopedia y Traumatología 2017; 31 (1)


Rótula bicapa bilateral

Marrero RLO, Rondón GOV, Peña ML, López DH, García GA, Nuviola TBS, Miranda BR
Texto completo Cómo citar este artículo

Idioma: Español
Referencias bibliográficas: 27
Paginas: 61-75
Archivo PDF: 652.50 Kb.


PALABRAS CLAVE

rótula, patela bicapa, displasia epifisaria múltiple, diagnóstico.

RESUMEN

Se presenta un escolar masculino de 12 años de edad, talla de 155 cm y 45 kg de peso que es traído a consulta externa de Ortopedia y Traumatología por presentar discreto aumento de volumen doloroso en ambas rodillas, profundo, en cara posterior de la rótula al movilizarla y al presionar sobre ella (en flexión y en extensión). Aumenta al subir y bajar escaleras. Signo de la butaca positivo y sensación de crepitación o chasquido. Se realizan estudios imaginológicos que conjuntamente con el cuadro clínico permiten llegar al diagnóstico.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Rubenstein JD, Christakis MS. Case 95: Fracture of Double-layered Patella in Multiple Epiphyseal Dysplasia. Radiology. 2006;239(3):911-3.

  2. Milants A, Maeseneer M de, Mey J de. Double-Layered Patella (DLP) in Multiple Epiphyseal Dysplasia (MED). Journal of the Belgian Society of Radiology. 2017;101(1):8, pp. 1-3, DOI: https://doi.org/10.5334/jbr-btr.1219

  3. Brown RR, Monsell F. Understanding the skeletal dysplasias. Clin Orthop. 2003;17:44-55.

  4. Czarny-Ratajczak M, Lohiniva J, Rogala P, Kozlowski K, Perala M, Carter L, et al. A mutation in COL9A1 causes multiple epiphyseal dysplasia: further evidence for locus heterogeneity. Am J Hum Genet. 2001;69:969-80.

  5. Briggs MD, Hoffman SM, King LM, Olsen AS, Mohrenweiser H, Leroy JG, et al. Pseudoachondroplasia and multiple epiphyseal dysplasia due to mutations in the cartilage oligomeric matrix protein gene. Nat Genet. 1995;10:330-6.

  6. Dietz FR, Mathews KD. Update on the genetic bases of disorders with orthopaedic manifestations. J Bone Joint Surg Am. 1996;78:1583-98.

  7. Krakow D, Rimoin DL. The skeletal displasias. Genetics in Medicine. 2010;12(6):327-41.

  8. Cho T-J, Kim O-H, Lee H-R, Shin SJ, Yoo WJ, Park WY, et al. Autosomal Recessive Multiple Epiphyseal Dysplasia in a Korean Girl Caused by Novel Compound Heterozygous Mutations in the DTDST (SLC26A2) Gene. J Korean Med Sci. 2010;25:1105-8. DOI: 10.3346/jkms.2010.25.7.1105

  9. Jakkula E, Makitie O, Czarny-Ratajczak M, Jackson GC, Damignani R, Susic M, et al. Mutations in the known genes are not the major cause of MED; distinctive phenotypic entities among patients with no identified mutations. Eur J Hum Genet. 2005;13:292- 301.

  10. Vatanavicharn N, Lachman RS, Rimoin DL. Multilayered patella: Similar radiographic findings in pseudoachondroplasia and recessive multiple epiphyseal dysplasia. Am J Med Genet (Part A). 2008;146A(13):1682-6.

  11. Nguyen MD, Everhart JS, May MM, Flanigan DC. Bilateral Double-Layered Patella: MRI Findings and Fusion with Multiple Headless Screws. A Case Report. J Bone Joint Surg Case Connector. 2013 [citado junio 25 2016];3(2):e50. Disponible en: http://dx.doi.org/10.2106/JBJS.CC.L.00314

  12. Sheffield EG. Double-layered patella in multiple epiphyseal dysplasia: a valuable clue in the diagnosis. J Pediatr Orthop. 1998;18:123-8.

  13. Goebel S, Steinert AF, Barthel T. Surgical management of a double-layered patella: a case report. Arch Orthop Trauma Surg. 2009;129:1071-5. DOI 10.1007/s00402-008-0701-z

  14. García Mata S, Hidalgo Ovejero A. Partial double-layered patella in a nondysplasic adolescent. J Pediatr Orthop B. 2016;25(6):561-3. DOI: 10.1097/BPB.0000000000000361.

  15. Leng HC, Foster P, Templeton PA. Fusion of double-layered patella using a single small fragment partially threaded screw: a case report. J Pediatr Orthop. 2011[citado ago 25 2016];31: e9-e12. DOI: https://doi. org/10.1097/BPO.0b013e318207454b

  16. Araújo J. Bilateral Double-Layered Patella (DLP) with Suprapatellar Impingement. Ann Clin Case Rep. 2017;2:1231.

  17. Mäkitie O, Geiberger S, Horemuzova E, Hagenäs L, Moström E, Nordenskjöld M, et al. SLC26A2 disease spectrum in Sweden - high frequency of recessive multiple epiphyseal dysplasia (rMED). Clin Genet. 2015;87:273-8.

  18. Gaheer RS, Kapoor S, Rysavy M. Contemporary Management of Symptomatic Bipartite Patella. Orthopedics. 2009[citado mayo 20 2016];32(11):843-9. DOI: 10.3928/01477447-20091101-04. Disponible en: http://www.healio.com/orthopedics/knee/journals/ortho/2009-11-32- 11/%7B82b0e6f3-572e-481f-bf2a-a82ff0cf32b9%7D/contemporary-management-ofsymptomatic- bipartite-patella

  19. Dündar Ü, Solak Ö, Çakır T. An Usual Painful Bipartite Patella. Eur J Gen Med. 2009;6(1):52-4.

  20. Kavanagh EC, Zoga A, Omar I, Ford S, Schweitzer M, Eustace S. MRI findings in bipartite patella. Skeletal Radiol. 2007[citado junio 25 2016];36:209-14. DOI: https://doi.org/10.1007/s00256-006-0232-z

  21. Lachman RS, Krakow D, Cohn DH, Rimoin DL. MED, COMP, multilayered and NEIN: An overview of multiple epiphyseal dysplasia. Pediatr Radiol. 2005;35:116-23.

  22. Ballhausen D, Bonafe' L, Terhal P, Ballhausen D, Bonafé L, Terhal P, et al. Recessive multiple epiphyseal dysplasia (rMED): Phenotype delineation in eighteen homozygotes for DTDST mutation R279W. J Med Genet. 2003;40:65-71.

  23. Nakashima E, Ikegawa S, Ohashi H, Kimizuka M, Nishimura G. Double-layered patella in multiple epiphyseal dysplasia is not exclusive to DTDST mutation. Am J Med Gen (Part A). 2005;133A(1):106-7. DOI: 10.1002/ajmg.a.30481

  24. Vanhoenacker FM, Bernaerts A, Van de Perre S, De Schepper AM. MRI of painful bipartite patella. JBR-BTR. 2002;85(4):219.

  25. Superti-Furga A, Neumann L, Riebel T, Eich G, Steinmann B, Spranger J, et al. Recessively inherited multiple epiphyseal dysplasia with normal stature, club foot, and double layered patella caused by a mutation DTDST. J Med Genet. 1999;36:621-4. DOI: 10.1136/jmg.36.8.621

  26. Dahners LE, Francisco WD, Halleran WJ. Findings at arthrotomy in a case of double layered patellae associated with multiple epiphyseal dysplasia. J Pediatr Orthop. 1982;2:67-70

  27. Gardner J, Woods D, Williamson D. Management of double-layered patellae by compression screw fixation. J Pediatr Orthop. 1999;B 8:39-41.




2020     |     www.medigraphic.com

Mi perfil

CÓMO CITAR (Vancouver)

Revista Cubana de Ortopedia y Traumatología. 2017;31