Abstract:
:Approximately one-third of skeletally mature patients with primary patellar dislocation will experience recurrent patellar instability over time. Because of the multifactorial combination of features contributing to overall stability of the patellofemoral joint, first-time patella dislocation presents a challenge to the treating physician. A detailed patient history, focused physical examination, and appropriate diagnostic imaging are essential for identifying risk factors for recurrent instability. Individual risk factors include young patient age, patella alta, trochlear dysplasia, and lateralization of the tibial tubercle. In combination these factors may pose even greater risk, and recently published predictive scoring models offer clinicians objective criteria to identify patients most at risk for recurrence. In patients at low risk of recurrence, nonoperative management can be effective, with "a la carte" surgical treatments gaining popularity in those with a higher than acceptable risk of re-dislocation.
journal_name
Sports Med Arthrosc Revjournal_title
Sports medicine and arthroscopy reviewauthors
Martin RK,Leland DP,Krych AJ,Dahm DLdoi
10.1097/JSA.0000000000000239subject
Has Abstractpub_date
2019-12-01 00:00:00pages
130-135issue
4eissn
1062-8592issn
1538-1951pii
00132585-201912000-00002journal_volume
27pub_type
杂志文章,评审abstract::Much as the anterior talofibular ligament can be advanced to stabilize the lateral ankle, the healed, elongated medial patellofemoral ligament (MPFL) can be advanced to restore patellofemoral stability. We describe a simple technique whereby the MPFL remnant and femoral insertion can be easily identified and tested fo...
journal_title:Sports medicine and arthroscopy review
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journal_title:Sports medicine and arthroscopy review
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journal_title:Sports medicine and arthroscopy review
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journal_title:Sports medicine and arthroscopy review
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更新日期:2008-03-01 00:00:00
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journal_title:Sports medicine and arthroscopy review
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更新日期:2017-06-01 00:00:00
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更新日期:2012-06-01 00:00:00
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journal_title:Sports medicine and arthroscopy review
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更新日期:2015-06-01 00:00:00
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journal_title:Sports medicine and arthroscopy review
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更新日期:2008-06-01 00:00:00
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