Presentation
Known case of congenital insensitivity to pain presented with progressive deformity of the right knee.
Patient Data
Age: 10 years
Gender: Male
From the case:
Congenital insensitivity to pain
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Right leg shows:
- displaced fracture of the medial femoral condyle with secondary genu valgum and frying with sclerosis of the medial part of tibial epiphysis
- green stick fracture of the mid-shaft of the tibia and fibula with evident periosteal reaction
Left knee shows a healing fracture of the lateral femoral condyle.
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Follow up after 6 months revealed healed green stick fractures of tibia and fibula and non-union of the medial femoral condyle, with joint deformity.
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Displaced fracture of the medial femoral condyle with multiple bone fragments and sclerosis of fracture ends. Mild knee effusion. Secondary genu varum deformity of the knee. Irregular surface of medial part of tibial epiphysis.
Case Discussion
Multiple limb fractures with prominent periosteal reaction is a constant feature of congenital insensitivity to pain.
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