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A Treatment Algorithm for Primary Patellar Dislocations
CONTEXT: Primary patellar dislocation continues to be a common problem facing clinicians today. These injuries are associated with significant morbidity and a substantial recurrence rate. Myriad operative and nonoperative options have been described to treat these injuries, although the evidence-bas...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445142/ https://www.ncbi.nlm.nih.gov/pubmed/23016004 http://dx.doi.org/10.1177/1941738111399237 |
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author | Jain, Neel P. Khan, Najeeb Fithian, Donald C. |
author_facet | Jain, Neel P. Khan, Najeeb Fithian, Donald C. |
author_sort | Jain, Neel P. |
collection | PubMed |
description | CONTEXT: Primary patellar dislocation continues to be a common problem facing clinicians today. These injuries are associated with significant morbidity and a substantial recurrence rate. Myriad operative and nonoperative options have been described to treat these injuries, although the evidence-based literature is sparse. EVIDENCE ACQUISITION: PubMed was searched from 1970-2010 to identify publications on patellar dislocations, including clinical presentation, natural history, radiographic workup, and treatment. RESULTS: The initial workup of a patella dislocation includes a history, physical examination, and radiographs. If there is evidence of a displaced osteochondral fragment or hemarthrosis, then magnetic resonance imaging should be obtained. The treatment of first-time patella dislocators has been controversial, and no study has demonstrated a clear benefit to early operative intervention. CONCLUSION: First-time patellar dislocations should be treated conservatively unless there is evidence of a displaced osteochondral fragment. |
format | Online Article Text |
id | pubmed-3445142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-34451422012-09-26 A Treatment Algorithm for Primary Patellar Dislocations Jain, Neel P. Khan, Najeeb Fithian, Donald C. Sports Health Orthopaedic Surgery CONTEXT: Primary patellar dislocation continues to be a common problem facing clinicians today. These injuries are associated with significant morbidity and a substantial recurrence rate. Myriad operative and nonoperative options have been described to treat these injuries, although the evidence-based literature is sparse. EVIDENCE ACQUISITION: PubMed was searched from 1970-2010 to identify publications on patellar dislocations, including clinical presentation, natural history, radiographic workup, and treatment. RESULTS: The initial workup of a patella dislocation includes a history, physical examination, and radiographs. If there is evidence of a displaced osteochondral fragment or hemarthrosis, then magnetic resonance imaging should be obtained. The treatment of first-time patella dislocators has been controversial, and no study has demonstrated a clear benefit to early operative intervention. CONCLUSION: First-time patellar dislocations should be treated conservatively unless there is evidence of a displaced osteochondral fragment. SAGE Publications 2011-03 /pmc/articles/PMC3445142/ /pubmed/23016004 http://dx.doi.org/10.1177/1941738111399237 Text en © 2011 The Author(s) |
spellingShingle | Orthopaedic Surgery Jain, Neel P. Khan, Najeeb Fithian, Donald C. A Treatment Algorithm for Primary Patellar Dislocations |
title | A Treatment Algorithm for Primary Patellar Dislocations |
title_full | A Treatment Algorithm for Primary Patellar Dislocations |
title_fullStr | A Treatment Algorithm for Primary Patellar Dislocations |
title_full_unstemmed | A Treatment Algorithm for Primary Patellar Dislocations |
title_short | A Treatment Algorithm for Primary Patellar Dislocations |
title_sort | treatment algorithm for primary patellar dislocations |
topic | Orthopaedic Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445142/ https://www.ncbi.nlm.nih.gov/pubmed/23016004 http://dx.doi.org/10.1177/1941738111399237 |
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