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SPORTS TRAUMATOLOGY - PART I
Minerva Ortopedica e Traumatologica 2010 October;61(5):425-40
Copyright © 2010 EDIZIONI MINERVA MEDICA
language: English
Clinical management and operative decision making for patellofemoral instability
Hapa O. 1, Barber F. A. 2
1 Department of Orthopedics and Traumatology, Gülhane Military Academy, Ankara, Turkey 2 FACS, Plano Orthopedic and Sports Medicine Center, Plano, TX, USA
Both patellar malalignment and trauma can lead to instability, that is a common condition most often occurring in adolescent females. Instability can range from subluxations to frank dislocations and can result from abnormalities in the bone structure or soft tissue problems such as a torn medial patellofemoral ligament or weak vastus medialis obliquus. Non-operative treatment should include a course of bracing and physical therapy to strengthen the vastus medialis obliquus and the gluteal muscles. Various surgical treatment options exist but an isolated lateral release is not supported by the recent literature. A comprehensive treatment algorithm will be here discussed.