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Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis
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Management of the first-time lateral patellar dislocation.

David Sands Johnson1, Philip Gartside Turner1

  • 1Department of Trauma and Orthopaedics, Stockport NHS Foundation Trust, Aspen House, Stepping Hill Hospital, Poplar Grove, Stockport SK2 7JE, United Kingdom of Great Britain and Northern Ireland; School of Health and Society, Mary Seacole Building, University of Salford, Frederick Road Campus, Salford M6 6PU, United Kingdom of Great Britain and Northern Ireland.

The Knee
|November 16, 2019
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Summary

First-time patellar dislocation management is often conservative after ruling out other injuries. Due to limited research quality, further studies on patellar dislocation are needed.

Keywords:
DislocationInstabilityPatellaPatellofemoral

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Area of Science:

  • Orthopaedic Surgery
  • Sports Medicine

Background:

  • Limited established guidance exists for managing first-time patellar dislocations.
  • Current literature on this condition is sparse and often of poor quality.

Purpose of the Study:

  • To review current guidance for the management of first-time patellar dislocation.
  • To provide evidence-based recommendations for clinicians treating this acute knee injury.

Main Methods:

  • A review of recent meta-analyses, systematic reviews, and consensus documents was conducted.
  • Content was based on a lecture presented at the British Orthopaedic Association 2019 annual conference.

Main Results:

  • Assessment for associated injuries requiring surgery is crucial.
  • Patients should be counselled on the risk of recurrent dislocation.
  • Initial management should be conservative, with surgery reserved for recurrent instability.

Conclusions:

  • Conservative management is appropriate for most first-time patellar dislocations after excluding other injuries.
  • The quality of existing research necessitates caution when interpreting findings.
  • Further high-quality research is essential to improve understanding and treatment protocols.