Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS...

Twenty-one Years with Congenital Insensitivity to Pain

by Dnyanesh G. Lad, and V.M. Khaleel

JBJS Case ConnectVolume 2(4):e66

November 14, 2012

©2012 by The Journal of Bone and Joint Surgery, Inc.

Clinical picture showing severe swelling of both knees.

Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect 2012;2:e66


Clinical picture just prior to amputation showing gross swelling, ulcerations, and hyperpigmentation over the left knee.



Anteroposterior radiograph of the left knee showing gross destruction of the knee joint with features of osteomyelitis.



Lateral radiograph of the left knee joint showing a neuropathic joint with features consistent with infection.



Ulceration over the left ischial tuberosity.



Anteroposterior radiograph of the right knee joint demonstrating severe joint destruction with new bone formation.



Lateral radiograph of the right knee joint.



Clinical photograph of the hands showing dystrophic nails and flexed distal interphalangeal joints.



Clinical photograph showing the stump of the left upper leg in addition to the right lower limb with the unstable knee and overlying dilated veins.



Clinical photograph of the right foot showing the superficial ulcer over the medial malleolus.



Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS...

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