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Review
. 2018 Jun;11(2):182-187.
doi: 10.1007/s12178-018-9473-4.

MPFL in First-Time Dislocators

Beth E Shubin Stein  1 , Simone Gruber  2 , Jacqueline M Brady  3
Affiliations
Review

MPFL in First-Time Dislocators

Beth E Shubin Stein et al. Curr Rev Musculoskelet Med. 2018 Jun.

Abstract

Purpose of review: Historically, the standard of care for patients with an acute patella dislocation has been non-operative with the exception being those with a loose body or osteochondral fracture requiring fixation or removal.

Recent findings: Recent literature has brought into question this standard of care approach and defined a higher risk subset of first-time dislocators who may benefit from early operative treatment. In addition, these studies suggest that operative treatment not only reduces the risk of recurrence but may improve outcomes overall and specifically in the pediatric population. Though the "high risk" population of first-time dislocators has been more clearly defined, how we treat them remains controversial. We continue to need more evidence-based guidelines to help us manage who we should be fixing and how we should be fixing them. We currently have several multi-center studies in progress, including one specifically looking at the question of medial patellofemoral ligament reconstruction in first-time pediatric and adolescent dislocators.

Keywords: Instability; MPFL; Patella; Patella alta; Pediatric dislocators; Trochlear dysplasia.

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Conflict of interest statement

Conflict of Interest

Beth E. Shubin Stein is a consultant for Arthrex and a member of the nominating committee for AOSSM. Simone Gruber and Jacqueline M. Brady declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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