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Spontaneous patella dislocation in Rubinstein Taybi Syndrome
J Sánchez Lázaro1, S Sánchez Herráez, L Díaz Gállego
1Department of Trauma Orthopaedics, Hospital de León, León, 24071 Spain. jasanlazaro@telefonica.net
The Knee
|December 1, 2006
Summary
A patient with Rubinstein Taybi Syndrome experienced spontaneous patella dislocation and reduction. Early surgical intervention for patellar instability is recommended in RTS patients despite developmental delays.
Area of Science:
- Orthopedics
- Genetics
- Pediatric Medicine
Background:
- Rubinstein Taybi Syndrome (RTS) is a rare genetic disorder characterized by intellectual disability, distinctive facial features, and broad thumbs/toes.
- Patellar instability is a known orthopedic complication in some genetic syndromes, but specific patterns in RTS are not well-documented.
Observation:
- A case of Rubinstein Taybi Syndrome presented with recurrent, spontaneous patella dislocation and reduction.
- Clinical assessment revealed significant ligamentous laxity and a reducible patella, indicating inherent joint instability.
Findings:
- The patient underwent successful open reduction and stabilization of the patella, utilizing a semitendinosus tenodesis procedure.
- This surgical approach addressed the patellar instability in the context of RTS.
Implications:
- The findings suggest that orthopedic interventions for patellar instability should not be delayed in children with RTS, even with associated motor and psychomotor delays.
- This case highlights an unusual presentation of patellar dislocation in RTS, emphasizing the need for tailored orthopedic management in this population.
