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Management of the Knee Extension Deficit after Acute Trauma
Thiago Alvim do Amaral1, David Sadigursky2
1Hospital Manoel Victorino, Clínica Ortoped, Salvador, Bahia, Brazil.
Case Reports in Orthopedics
|January 12, 2019
Summary
Arthrogenic muscle inhibition, a loss of knee extension after trauma, can impair surgical outcomes. Rehabilitation effectively restored quadriceps function and full knee extension in a patient case.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation Science
Background:
- Arthrogenic muscle inhibition (AMI) is a common cause of knee extension deficit after acute knee trauma.
- AMI is a functional deficit, distinct from mechanical blocks, that can negatively impact outcomes following knee surgery.
- Early recognition and diagnosis of AMI are crucial for effective patient management.
Observation:
- A 25-year-old male patient presented with a significant right knee extension deficit post-trauma.
- The deficit was diagnosed as arthrogenic muscle inhibition, not intra-articular pathology.
- The patient experienced functional limitations due to the loss of knee extension.
Findings:
- The patient underwent a tailored rehabilitation program.
- The rehabilitation technique led to significant functional gains in the quadriceps muscle.
- Full restoration of knee extension was achieved.
Implications:
- Rehabilitation is an effective treatment for arthrogenic muscle inhibition.
- Addressing AMI can improve functional outcomes after knee trauma and surgery.
- This case highlights the importance of diagnosing and treating functional neuromuscular deficits.
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