International Journal of Orthopaedics Sciences

Dervan dermatome syndrome often missed but surprisingly common coexistent spine pathology in ‘Knee Pain’, ignore at your own risk

2018, Volume 4 Issue 4

Dervan dermatome syndrome often missed but surprisingly common coexistent spine pathology in ‘Knee Pain’, ignore at your own risk

Author(s): Pavankumar Kohli, Ankush Nawale, Sushant Chavan, Satishchandra Gore and Sunil Nadkarni
Abstract: 
Introduction: Knee pain is among the commonest complaints in the outpatient orthopedic department. However the cause does not always originate from knee itself. and knee pain is used by the patient more as an umbrella term. In fact very few patients give the complete list of accompanying symptoms. They have more often than not to be coaxed out of the patient. To make matters more complex, Referred pain from the Spinal nerves, Hip and Ankle joints join the many structures around the knee to make knee pain an umbrella term for this Pandora’s Box. Misdiagnosis or partial diagnosis leads to inadequate or wrong treatment and continued suffering for patient and treating doctors
Materials & Methods: 78 patients with knee pain attended the OPD of Walawalkar hospital, Dervan. On x-ray, 28 were found to have different grades of osteoarthritis. Of these 25 agreed to be part of this pilot study. They underwent standing x rays & MRI of the lumbosacral spine.
Results: This study found an unusually high rate of coexistent knee and spine pathologies. All patients had some degree of disc disease accompanying medial or tricompartmental osteoarthritis. It undermines the need for investigating this important contributor to the umbrella term of knee pain.
The commonest affected disc segment was L4-5 i.e 92% with two patients having L5- S1 prolapse 8%. The purpose of this pilot study is only to alert the surgical and rehabilitation colleagues of the frequent coexistence of the spine and knee conditions for Counseling, consent, surgery & rehabilitation and thus improve patient satisfaction.

Pages: 649-653  |  1144 Views  66 Downloads
How to cite this article:
Pavankumar Kohli, Ankush Nawale, Sushant Chavan, Satishchandra Gore, Sunil Nadkarni. Dervan dermatome syndrome often missed but surprisingly common coexistent spine pathology in ‘Knee Pain’, ignore at your own risk. Int J Orthop Sci 2018;4(4):649-653. DOI: 10.22271/ortho.2018.v4.i4h.78
 
International Journal of Orthopaedics Sciences
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