twenty-one years with congenital insensitivity to pain by dnyanesh g. lad, and v.m. khaleel jbjs...

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Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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.

Page 2: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

Clinical picture showing severe swelling of both knees.

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

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

Page 3: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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

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

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

Page 4: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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

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

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

Page 5: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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

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

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

Page 6: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

Ulceration over the left ischial tuberosity.

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

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

Page 7: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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

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

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

Page 8: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

Lateral radiograph of the right knee joint.

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

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

Page 9: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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

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

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

Page 10: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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.

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

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

Page 11: Twenty-one Years with Congenital Insensitivity to Pain by Dnyanesh G. Lad, and V.M. Khaleel JBJS Case Connect Volume 2(4):e66 November 14, 2012 ©2012 by

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

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

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