Treatment options for patellofemoral instability in sports traumatology

  • Philippe M. Tscholl | ph.tscholl@sunrise.ch Orthopaedic Department, Balgrist University Hospital, University of Zurich, Switzerland.
  • Peter P. Koch Orthopaedic Department, Balgrist University Hospital, University of Zurich, Switzerland.
  • Sandro F. Fucentese Orthopaedic Department, Balgrist University Hospital, University of Zurich, Switzerland.

Abstract

Patellofemoral instability not only involves lateral patellar dislocation, patellar mal-tracking or subluxation but can also cause a limiting disability for sports activities. Its underlying causes are known as morphological anomalies of the patellofemoral joint or the mechanical axis, femorotibial malrotation, variants of the knee extensor apparatus, and ligamentous insufficiencies often accompanied by poor proprioception. Athletes with such predisposing factors are either suffering from unspecific anterior knee pain or from slightly traumatic or recurrent lateral patellar dislocation Treatment options of patellar instability are vast, and need to be tailored individually depending on the athlete’s history, age, complaints and physical demands. Different conservative and surgical treatment options are reviewed and discussed, especially limited expectations after surgery.

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Published
2013-09-11
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Issue
Section
Reviews
Keywords:
anterior knee pain, MPFL, athlete, osteotomy, trochleoplasty
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How to Cite
Tscholl, P. M., Koch, P. P., & Fucentese, S. F. (2013). Treatment options for patellofemoral instability in sports traumatology. Orthopedic Reviews, 5(3), e23. https://doi.org/10.4081/or.2013.e23