Instabilité rotulienne : diagnostic et traitement [Patellar instability : diagnosis and treatment]

Details

Serval ID
serval:BIB_B778194C7DE8
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Instabilité rotulienne : diagnostic et traitement [Patellar instability : diagnosis and treatment]
Journal
Revue medicale suisse
Author(s)
Ngo THN, Martin R.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
13/12/2017
Peer-reviewed
Oui
Volume
13
Number
587
Pages
2164-2168
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The aim of this paper is to present recent advances in surgical management of patellar instability. Several anatomical factors were reported to promote instability. We propose to classify them in two groups. Extra articular factors are valgus and torsion deformity. Articular factors include trochlea and patella dysplasia, tibial tubercle lateralization and medial patellofemoral ligament (MPFL) insufficiency. Acute patellar dislocations are treated conservatively, with exception for osteochondral and MPFL avulsion fractures that require acute reinsertion. Surgery is considered for recurrent instability. As we aim for a correction of all contributing elements, we prefer a two stages approach. Extra articular factors are treated first by osteotomy, followed by articular factors after 4-6 months. This allows separate rehabilitation protocols.
Keywords
Humans, Joint Instability/diagnosis, Joint Instability/therapy, Ligaments, Articular, Patellar Dislocation/diagnosis, Patellar Dislocation/therapy, Patellofemoral Joint/physiopathology, Tibia
Pubmed
Create date
11/01/2018 20:13
Last modification date
20/08/2019 16:25
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