Cargando…
Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis
PURPOSE: Non-surgical treatment of primary patellar dislocation has a high risk of recurrent dislocation; thus, we tried to identify injuries in which sites of the medial patellofemoral ligament (MPFL) were most associated with recurrent dislocation by analyzing relevant original literature in order...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7541236/ https://www.ncbi.nlm.nih.gov/pubmed/33028358 http://dx.doi.org/10.1186/s13018-020-01984-0 |
_version_ | 1783591365376999424 |
---|---|
author | Jiang, Boyong Qiao, Chenggang Shi, Yuting Ren, Yizhong Han, Changxu Zhu, Yong Na, Yuyan |
author_facet | Jiang, Boyong Qiao, Chenggang Shi, Yuting Ren, Yizhong Han, Changxu Zhu, Yong Na, Yuyan |
author_sort | Jiang, Boyong |
collection | PubMed |
description | PURPOSE: Non-surgical treatment of primary patellar dislocation has a high risk of recurrent dislocation; thus, we tried to identify injuries in which sites of the medial patellofemoral ligament (MPFL) were most associated with recurrent dislocation by analyzing relevant original literature in order to provide improved suggestions on early surgical treatment. METHODS: According to the preset retrieval strategy, the original studies were retrieved until January 2020 using MEDLINE, Embase and Cochrane Library. Review Manager 5.3 software was used to summarize and compare the differences of recurrent dislocation of MPFL injuries at different attachments. RESULTS: Although the incidence of recurrent patellar dislocation at the femoral attachment of MPFL was higher overall (femoral only vs. patellar only vs. combined: 37.6% vs. 32.3% vs. 35.8%), no statistical difference was found among the three groups (femoral only vs. patellar only, RR = 1.32 [95% CI 0.89–1.95]; P = 0.17) (femoral only vs. combined, RR = 1.15 [95% CI 0.59–2.22]; P = 0.68) (patellar only vs. combined, RR = 0.94 [95% CI 0.69–1.29]; P = 0.72). In addition, the sulcus angle of recurrent dislocation group is significantly greater than that in the non-recurrent dislocation group (MD = 3.06 [95% CI 0.42–5.70]; P = 0.02). CONCLUSIONS: Based on the pooled data collected from the original studies available, the risk of recurrent patellar dislocation due to damage to the MPFL at different sites did not differ. Additionally, the sulcus angle in the group with recurrent dislocation was considerably higher when comparing with the group without recurrent dislocation, that is, the shallower and flatter of the trochlear groove, the higher the risk of recurrent patellar dislocation. |
format | Online Article Text |
id | pubmed-7541236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75412362020-10-08 Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis Jiang, Boyong Qiao, Chenggang Shi, Yuting Ren, Yizhong Han, Changxu Zhu, Yong Na, Yuyan J Orthop Surg Res Systematic Review PURPOSE: Non-surgical treatment of primary patellar dislocation has a high risk of recurrent dislocation; thus, we tried to identify injuries in which sites of the medial patellofemoral ligament (MPFL) were most associated with recurrent dislocation by analyzing relevant original literature in order to provide improved suggestions on early surgical treatment. METHODS: According to the preset retrieval strategy, the original studies were retrieved until January 2020 using MEDLINE, Embase and Cochrane Library. Review Manager 5.3 software was used to summarize and compare the differences of recurrent dislocation of MPFL injuries at different attachments. RESULTS: Although the incidence of recurrent patellar dislocation at the femoral attachment of MPFL was higher overall (femoral only vs. patellar only vs. combined: 37.6% vs. 32.3% vs. 35.8%), no statistical difference was found among the three groups (femoral only vs. patellar only, RR = 1.32 [95% CI 0.89–1.95]; P = 0.17) (femoral only vs. combined, RR = 1.15 [95% CI 0.59–2.22]; P = 0.68) (patellar only vs. combined, RR = 0.94 [95% CI 0.69–1.29]; P = 0.72). In addition, the sulcus angle of recurrent dislocation group is significantly greater than that in the non-recurrent dislocation group (MD = 3.06 [95% CI 0.42–5.70]; P = 0.02). CONCLUSIONS: Based on the pooled data collected from the original studies available, the risk of recurrent patellar dislocation due to damage to the MPFL at different sites did not differ. Additionally, the sulcus angle in the group with recurrent dislocation was considerably higher when comparing with the group without recurrent dislocation, that is, the shallower and flatter of the trochlear groove, the higher the risk of recurrent patellar dislocation. BioMed Central 2020-10-07 /pmc/articles/PMC7541236/ /pubmed/33028358 http://dx.doi.org/10.1186/s13018-020-01984-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Systematic Review Jiang, Boyong Qiao, Chenggang Shi, Yuting Ren, Yizhong Han, Changxu Zhu, Yong Na, Yuyan Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis |
title | Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis |
title_full | Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis |
title_fullStr | Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis |
title_full_unstemmed | Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis |
title_short | Evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by MRI: a meta-analysis |
title_sort | evaluation of risk correlation between recurrence of patellar dislocation and damage to the medial patellofemoral ligament in different sites caused by primary patellar dislocation by mri: a meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7541236/ https://www.ncbi.nlm.nih.gov/pubmed/33028358 http://dx.doi.org/10.1186/s13018-020-01984-0 |
work_keys_str_mv | AT jiangboyong evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis AT qiaochenggang evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis AT shiyuting evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis AT renyizhong evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis AT hanchangxu evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis AT zhuyong evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis AT nayuyan evaluationofriskcorrelationbetweenrecurrenceofpatellardislocationanddamagetothemedialpatellofemoralligamentindifferentsitescausedbyprimarypatellardislocationbymriametaanalysis |