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International Orthopaedics

Erschienen in:

01.12.2012 | Review Article

Modern management of patellar instability

verfasst von: Shin-Jae Rhee, George Pavlou, Jeremy Oakley, David Barlow, Farres Haddad

Erschienen in: International Orthopaedics | Ausgabe 12/2012

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Abstract

Recurrent patellofemoral instability is a disabling condition, attributed to a variety of anatomical aetiologies. Trochlear dysplasia, patella alta, an increased tibial tubercle trochlear groove distance of greater than 20 mm and soft tissue abnormalities such as a torn medial patellofemoral ligament and inadequate vastus medialis obliquus are all factors to be considered. Management of this condition remains difficult and controversial and knowledge of the functional anatomy and biomechanics of the patellofemoral joint, a detailed history and clinical examination, and an accurate patient assessment are all imperative to formulate an appropriate management plan. Surgical treatment is based on the underlying anatomical pathology with an aim to restore normal patellofemoral kinematics. We summarise aspects of assessment, treatment and outcome of patellofemoral instability and propose an algorithm of treatment.

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Titel: Modern management of patellar instability
verfasst von: Shin-Jae Rhee
George Pavlou
Jeremy Oakley
David Barlow
Farres Haddad
Publikationsdatum: 01.12.2012
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 12/2012
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1669-4

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