Journal article
Patellofemoral Instability in Active Adolescents
The Journal of knee surgery, Vol.28(4), pp.265-278
08/2015
DOI: 10.1055/s-0035-1549017
PMID: 25892009
Abstract
Abstract
Patellofemoral instability is a common problem in the adolescent population. Patellar stability depends on a dynamic interplay between bony and soft tissue restraints. Several pathoanatomical factors increase the likelihood of patellar instability: patella alta, trochlear dysplasia, malalignment, and deficient proximal medial restraints. Treatment for first-time patella dislocations is typically nonoperative and includes bracing, early range of motion, and physical therapy. The only absolute indication for early surgery is a large osteochondral fragment that can be fixed. Surgical stabilization is indicated for chronic patellar instability and includes both proximal and distal realignment options. Medial patellofemoral ligament reconstruction is the treatment of choice in most adolescent patients with patella instability. Distal bony realignment procedures are reserved for skeletally mature adolescents.
Details
- Title: Subtitle
- Patellofemoral Instability in Active Adolescents
- Creators
- Zachary Ries - Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IowaMatthew Bollier - Department of Orthopaedics and Rehabilitation
- Resource Type
- Journal article
- Publication Details
- The Journal of knee surgery, Vol.28(4), pp.265-278
- DOI
- 10.1055/s-0035-1549017
- PMID
- 25892009
- NLM abbreviation
- J Knee Surg
- ISSN
- 1538-8506
- eISSN
- 1938-2480
- Publisher
- Thieme Medical Publishers; 333 Seventh Avenue, New York, NY 10001, USA
- Language
- English
- Date published
- 08/2015
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040574802771
Metrics
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