Isolated popliteus tendon injury in a young patient: A case report.

IF 1.9 Q2 ORTHOPEDICS Joint diseases and related surgery Pub Date : 2023-08-21 DOI:10.52312/jdrs.2023.1133
Arman Vahabi, Ali Engin Daştan, Elcil Kaya Biçer, Semih Aydoğdu
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Abstract

Isolated popliteus injury is a rare clinical condition which can be treated either surgically or conservatively. Factors such as the patient's age, activity level, and cooperation with the medical team are determinants to choose the most optimal treatment option. A 29-year-old female patient presented with a knee injury caused by a low-speed motorcycle accident. Further examination suggested an isolated popliteus injury without any concomitant knee injury. We opted for surgical treatment, as it allowed us to act more confidently in the postoperative follow-up and the patient did not inspire confidence in the medical team in terms of close follow-up and compliance with the physical therapy protocols that would be required, if conservative treatment was chosen. In conclusion, isolated popliteus injury is a rare condition with no consensus on the treatment algorithm. Both surgical and conservative treatments can yield good to excellent results. Surgical treatment may be considered in selected cases where an optimal close follow-up regimen seems to be unlikely.

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一例年轻患者的孤立性腘肌腱损伤:一例报告。
孤立性腘窝损伤是一种罕见的临床情况,可以通过手术或保守治疗。患者的年龄、活动水平以及与医疗团队的合作等因素是选择最佳治疗方案的决定因素。一名29岁的女性患者在一次低速摩托车事故中膝盖受伤。进一步检查显示腘关节有孤立性损伤,没有任何膝关节损伤。我们选择了手术治疗,因为这让我们在术后随访中更有信心,而且如果选择保守治疗,患者在密切随访和遵守所需物理治疗方案方面并没有激发医疗团队的信心。总之,孤立性腘窝损伤是一种罕见的情况,在治疗算法上没有达成共识。手术治疗和保守治疗都能产生良好的效果。在不太可能采用最佳密切随访方案的选定病例中,可以考虑手术治疗。
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