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

Détails

ID Serval
serval:BIB_B778194C7DE8
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Instabilité rotulienne : diagnostic et traitement [Patellar instability : diagnosis and treatment]
Périodique
Revue medicale suisse
Auteur(s)
Ngo THN, Martin R.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
13/12/2017
Peer-reviewed
Oui
Volume
13
Numéro
587
Pages
2164-2168
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Humans, Joint Instability/diagnosis, Joint Instability/therapy, Ligaments, Articular, Patellar Dislocation/diagnosis, Patellar Dislocation/therapy, Patellofemoral Joint/physiopathology, Tibia
Pubmed
Création de la notice
11/01/2018 19:13
Dernière modification de la notice
20/08/2019 15:25
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