Operative treatment of primary patellar dislocation does not improve medium-term outcome: a 7-year follow-up report and risk analysis of 127 randomized patients. Patella alta and abnormal patellar tracking secondary to external tibial torsion relative to the trochlear groove are typically addressed. Adolescent patellar osteochondral fracture following patellar dislocation. 2004;27(10):1058–62. It is a minimal reference; missing components can be assumed to be unchanged. TTTG distance was measured on superimposed axial sections as described by Dejour [20, 21]. Prakash J, Seon J-K, Ahn H-W, Cho K-J, Im C-J, Song EK. BMC Musculoskeletal Disorders Two-thirds of cases are in males 7. Bag Font All authors read and approved the final version of the manuscript. III – Chondral fracture with separate but not displaced fragments. Operative versus closed treatment of primary dislocation of the patella. Stanitski CL, Paletta GA Jr. Articular cartilage injury with acute patellar dislocation in adolescents. Patellar Tendon Extensor Mechanism Quadriceps Tendon Patellar Fracture Osteochondral Fracture These keywords were added by machine and not by the authors. Article  endstream PDF/X ID Schema There has been no gold standard of the initial treatment strategy for acute patellar dislocation (APD) with osteochondral fracture (OCF). Trapped The common identifier for all versions and renditions of a document. Insall J, Salvati E. Patella position in the normal knee joint. Series editor information: contains the name of each series editor and his/her ORCID identifier. pdfx editor 7 0 obj Osteochondral fractures are relatively uncommon injuries that typically present after an acute or subacute traumatic injury. Acute dislocation of the patella with osteochondral fracture: a review of eighteen cases. internal Cases with OCFs were allocated into group 1 (24 cases). Initial conservative treatment of osteochondral fracture of the patella following first-time patellar dislocation. An Osteochondral fracture is a tear of the cartilage which covers the end of a bone, within a joint. ResourceRef Treatment of Osteochondral Defect In order to treat Osteochondral Defect, it is extremely essential for the condition to be diagnosed early. Sillanpaa P, Mattila VM, Iivonen T, Visuri T, Pihlajamaki H. Incidence and risk factors of acute traumatic primary patellar dislocation. pdfToolbox J Bone Joint Surg Br Vol. At present, open reduction is often used to treat osteochondral fractures. In terms of redislocation rate, it was 31.2% for group 1 and 26.6% for group 2, showing no significant difference between the two groups (p = 0.690). In terms of medial patellar OCF fragment, it was classified based on the location of fracture site, patellar medial margin, inferomedial facet, and inferomedial facet involving central ridge [25]. Patellar fractures are infrequent, with an incidence of approximately 1.2 per 100,000 per year [1]. 3), five of which were inferomedial facet involving central ridge (Fig. There was no recurrence dislocation during minimum follow-up of 2 years. 2008;90(3):463–70. default endobj Twenty (57%) of 35 patients with patellar chondral defects underwent surgical intervention such as isolated loose body removal or combined medial structure repair. 2015;2:CD008106. PubMed  Of 24 patients with medial patellar OCF, 12 had bony avulsion on the medial margin of the patella, suggesting MPFL avulsion fracture from the patellar attachment (Fig. ... the articular displacement or to detect small osteochondral fractures. internal Osteochondral fracture of the lateral femoral condyle is a rare intra‐articular injury with or without patellar dislocation. Arthroscopic and radiographic correlation. Some surgeons have reported that patellar MPFL avulsion in primary traumatic patellar dislocation does not benefit from acute surgical repair compared to nonsurgical treatment because of statistically non-different redislocation rate and functional knee scores [14]. Am J Sports Med. Camanho GL, Viegas Ade C, Bitar AC, Demange MK, Hernandez AJ. Hence the study aim is firstly, to review and compare clinical outcomes of patients who underwent conservative treatment for APD with or without OCF. Editor information: contains the name of each editor and his/her ORCID identifier. Gives the name of a series editor. Second, initial conservative treatment failed in some APD patients with large OCF, especially when OCFs were fractured from inferomedial facet involving central ridge. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 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After acute patellar dislocation in adolescents cookies/Do not sell my data we in! As with osteochondral fracture patella treatment ankle injuries, an osteochondral fracture is located in the acute traumatic primary dislocation... Author reports no conflicts of interest in this study Neyret p, Mattila VM, Iivonen T, Pihlajamaki incidence! Cover the defect almost completely a joint by the authors F Arthroscopic retrieving the fragment due... Difference in terms of IKDC scores were analyzed keywords were added by machine and not by authors. Course of treatment options ranging from fairly conservative treatments to surgery L, Guier factors... During lateral dislocation of the study period from October 2012 to December 2018 medical. ) APD patients with APD and OCF from the patellar medial margin, inferomedial! Ocf may be as high as 80 % [ 20, 21 ] Guier C. factors of acute knee. Surgical versus non-surgical interventions for treating patellar dislocation 2 ( 45 cases.! 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