Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient

Acute patellar dislocation or subluxation is a common cause for knee injuries in the United States and accounts for 2% to 3% of all injuries. Up to 49% of patients will have recurrent subluxations or dislocations. Importance of both soft tissue(predominantly,the medial patellofemoral ligament, MPFL,...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Xinning Li [verfasserIn] Natalie M. Nielsen [verfasserIn] Hanbing Zhou [verfasserIn] Beth Shubin Stein [verfasserIn] Yvonne A. Shelton [verfasserIn] Brian D. Busconi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	pediatric orthopedics, patella dislocation, Faulkerson procedure, MPFL reconstruction

Übergeordnetes Werk:	In: Orthopedic Reviews - Open Medical Publishing, 2009, 5(2013), 2, Seite e9-e9
Übergeordnetes Werk:	volume:5 ; year:2013 ; number:2 ; pages:e9-e9

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4081/or.2013.e9

Katalog-ID:	DOAJ004313666

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callnumber-first	R - Medicine
author	Xinning Li
spellingShingle	Xinning Li misc RD701-811 misc pediatric orthopedics, patella dislocation, Faulkerson procedure, MPFL reconstruction misc Orthopedic surgery Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient
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topic_title	RD701-811 Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient pediatric orthopedics, patella dislocation, Faulkerson procedure, MPFL reconstruction
topic	misc RD701-811 misc pediatric orthopedics, patella dislocation, Faulkerson procedure, MPFL reconstruction misc Orthopedic surgery
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title	Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient
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title_full	Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient
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title_sort	surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient
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title_auth	Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient
abstract	Acute patellar dislocation or subluxation is a common cause for knee injuries in the United States and accounts for 2% to 3% of all injuries. Up to 49% of patients will have recurrent subluxations or dislocations. Importance of both soft tissue(predominantly,the medial patellofemoral ligament, MPFL, which is responsible for 60% of the resistance to lateral dislocation) and bony constraint of femoral trochlea in preventing subluxation and dislocation is well documented. Acute patella dislocation will require closed reduction and management typically consist of conservative or surgical treatment depending on the symptoms and recurrence of instability. Most patients are diagnosed and treated in a timely manner. We present a 15 years old male with a missed traumatic lateral patella dislocation during childhood. The patient presented as an adolescent with a chronically fixed lateral patella dislocation and was management with surgery. The key steps in the surgical reconstruction of this patient required first mobilizing the patella with a lateral retinacular release and V-Y lengthening of the shortened or contracted quadriceps tendon. Then a combination of MPFL reconstruction using the semi-tendinosis autograft, tibial tubercle osteotomy with anterio-medialization, and lateral facetectomy was performed. At the one-year follow-up, our patient had improved knee range of motion and decrease in pain. Chronically fixed lateral dislocated patella is a rare and complex problem to manage in older patients that will require a thorough work-up and appropriate surgical planning along with reconstruction.
abstractGer	Acute patellar dislocation or subluxation is a common cause for knee injuries in the United States and accounts for 2% to 3% of all injuries. Up to 49% of patients will have recurrent subluxations or dislocations. Importance of both soft tissue(predominantly,the medial patellofemoral ligament, MPFL, which is responsible for 60% of the resistance to lateral dislocation) and bony constraint of femoral trochlea in preventing subluxation and dislocation is well documented. Acute patella dislocation will require closed reduction and management typically consist of conservative or surgical treatment depending on the symptoms and recurrence of instability. Most patients are diagnosed and treated in a timely manner. We present a 15 years old male with a missed traumatic lateral patella dislocation during childhood. The patient presented as an adolescent with a chronically fixed lateral patella dislocation and was management with surgery. The key steps in the surgical reconstruction of this patient required first mobilizing the patella with a lateral retinacular release and V-Y lengthening of the shortened or contracted quadriceps tendon. Then a combination of MPFL reconstruction using the semi-tendinosis autograft, tibial tubercle osteotomy with anterio-medialization, and lateral facetectomy was performed. At the one-year follow-up, our patient had improved knee range of motion and decrease in pain. Chronically fixed lateral dislocated patella is a rare and complex problem to manage in older patients that will require a thorough work-up and appropriate surgical planning along with reconstruction.
abstract_unstemmed	Acute patellar dislocation or subluxation is a common cause for knee injuries in the United States and accounts for 2% to 3% of all injuries. Up to 49% of patients will have recurrent subluxations or dislocations. Importance of both soft tissue(predominantly,the medial patellofemoral ligament, MPFL, which is responsible for 60% of the resistance to lateral dislocation) and bony constraint of femoral trochlea in preventing subluxation and dislocation is well documented. Acute patella dislocation will require closed reduction and management typically consist of conservative or surgical treatment depending on the symptoms and recurrence of instability. Most patients are diagnosed and treated in a timely manner. We present a 15 years old male with a missed traumatic lateral patella dislocation during childhood. The patient presented as an adolescent with a chronically fixed lateral patella dislocation and was management with surgery. The key steps in the surgical reconstruction of this patient required first mobilizing the patella with a lateral retinacular release and V-Y lengthening of the shortened or contracted quadriceps tendon. Then a combination of MPFL reconstruction using the semi-tendinosis autograft, tibial tubercle osteotomy with anterio-medialization, and lateral facetectomy was performed. At the one-year follow-up, our patient had improved knee range of motion and decrease in pain. Chronically fixed lateral dislocated patella is a rare and complex problem to manage in older patients that will require a thorough work-up and appropriate surgical planning along with reconstruction.
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title_short	Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient
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author2	Natalie M. Nielsen Hanbing Zhou Beth Shubin Stein Yvonne A. Shelton Brian D. Busconi
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up_date	2024-07-03T23:07:42.283Z
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Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient

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