MPFL in First-Time Dislocators

Beth E. Shubin Stein, Simone Gruber, Jacqueline M. Brady

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

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. Summary: 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.

Original languageEnglish (US)
Pages (from-to)182-187
Number of pages6
JournalCurrent Reviews in Musculoskeletal Medicine
Volume11
Issue number2
DOIs
StatePublished - Jun 1 2018

Keywords

  • Instability
  • MPFL
  • Patella
  • Patella alta
  • Pediatric dislocators
  • Trochlear dysplasia

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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