Habitual dislocation
Classification according to ICD-10 | |
---|---|
M24.4 | Habitual dislocation and subluxation of a joint |
M22.0 | Habitual dislocation of the patella |
ICD-10 online (WHO version 2019) |
A habitual dislocation is a dislocation that occurs repeatedly during physiological movements without the need for additional force.
It is based on joint instability , which is either congenital or usually caused by previous trauma with normal dislocation.
A habitual dislocation usually occurs on the kneecap or shoulder . Either the capsular ligament guidance is inadequate and / or the bony shape of the plain bearing on the knee or the joint surface on the shoulder is insufficient, so that with some loads the kneecap slips to the side or the humerus head jumps out of the socket and the arm can no longer be moved can.
Occurrence
Habitual dislocations can occur in the following diseases:
- Atelosteogenesis
- Ehlers-Danlos Syndrome
- Ellis van Creveld syndrome of the patella
- Homocystinuria
- Marfan's Syndrome
- Larsen Syndrome
- Nail-patella syndrome of the patella and elbow
- Rubinstein-Taybi Syndrome
- Trisomy 21 on the patella and hip joint
treatment
In addition to the reduction, the straightening of the corresponding joint, a strengthening of the joint-guiding muscles and the like is necessary. a. with physiotherapy the first step in treatment. Occasionally, habitual dislocations move back in almost as easily as they do out.
For details of treatment, see Patellar Dislocation and Shoulder Dislocation .
literature
- W. Pschyrembel, Clinical Dictionary, Verlag Walter de Gruyter, 265th edition (2014) ISBN 3-11-018534-2
Individual evidence
- ↑ F. Hefti: Pediatric Orthopedics in Practice. Springer 1998, p. 648, ISBN 3-540-61480-X .