Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2010 October;61(5) > Minerva Ortopedica e Traumatologica 2010 October;61(5):425-40

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

  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


PDF


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.

top of page