Patella Dislocation
- PMID: 30855872
- Bookshelf ID: NBK538288
Patella Dislocation
Excerpt
Patellar instability is a spectrum of conditions ranging from intermittent subluxations to dislocation. Patients typically present with obvious deformity and an inability to extend the knee. The recurrence rate following a first-time dislocation is around 15-60%. Generalized patellar instability is thought to represent up to 3% of clinical presentations involving the knee. In most cases, it can be managed conservatively with physiotherapy and bracing, except in the presence of a fracture or recurrent episodes.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Beaconsfield T, Pintore E, Maffulli N, Petri GJ. Radiological measurements in patellofemoral disorders. A review. Clin Orthop Relat Res. 1994 Nov;(308):18-28. - PubMed
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- Elias DA, White LM, Fithian DC. Acute lateral patellar dislocation at MR imaging: injury patterns of medial patellar soft-tissue restraints and osteochondral injuries of the inferomedial patella. Radiology. 2002 Dec;225(3):736-43. - PubMed
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- Smith TO, Donell S, Song F, Hing CB. Surgical versus non-surgical interventions for treating patellar dislocation. Cochrane Database Syst Rev. 2015 Feb 26;(2):CD008106. - PubMed
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