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Pediatric Management of Recurrent Patellar Instability

Schlichte, Lindsay M. MS*; Sidharthan, Sreetha BS*; Green, Daniel W. MD, FACS*; Parikh, Shital N. MD, FACS

Sports Medicine and Arthroscopy Review: December 2019 - Volume 27 - Issue 4 - p 171–180
doi: 10.1097/JSA.0000000000000256
Review Article
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Patellofemoral instability is a common orthopedic condition in children and adolescents, with recurrent instability often requiring surgical intervention. Age, bilateral instability, and various anatomic features such as trochlear dysplasia, patella alta, increased tibial tubercle to trochlear groove distance, and patellar tilt have all been described as risk factors for recurrent patellar instability. Medial patellofemoral ligament reconstruction has become the mainstay of treatment for addressing recurrent patellar instability in skeletally immature patients. For some patients, additional interventions such as distal realignment and guided growth procedures may be required to address anatomic pathology. This article discusses various risk factors associated with patellofemoral instability, reconstruction techniques, and a case example.

*Hospital for Special Surgery, New York, NY

Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Disclosure: The authors declare no conflict of interest.

Reprints: Shital N. Parikh, MD, FACS, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Av, Cincinnati, OH 45229.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.