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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...

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Detalles Bibliográficos
Autores principales: Jain, Neel P., Khan, Najeeb, Fithian, Donald C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2011
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.
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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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