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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Return to Play Considerations After Patellar Instability.

Rachel E Lampros1, Miho J Tanaka2

  • 1Sports Physical Therapy, Massachusetts General Hospital, Boston, MA, USA.

Current Reviews in Musculoskeletal Medicine
|November 11, 2022
PubMed
Summary
This summary is machine-generated.

This review outlines criteria for assessing athletes after patellar instability treatment. It details functional tests and readiness evaluations crucial for safe return to sports participation.

Keywords:
MPFCMPFLMedial patellofemoral complexMedial patellofemoral ligamentPatellar dislocationPatellar instabilityPatellofemoralReconstructionReturn to playReturn to sport

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Patellar instability is a common condition affecting athletes.
  • Treatment involves non-operative and operative approaches.
  • Rehabilitation is key for restoring function and enabling return to play.

Purpose of the Study:

  • To review treatment options for patellar instability.
  • To discuss rehabilitation protocols for non-operative and operative management.
  • To evaluate expected return to play outcomes and functional performance.

Main Methods:

  • Literature review of treatment and rehabilitation strategies.
  • Analysis of criterion-based rehabilitation programs.
  • Evaluation of functional tests for return to sport clearance.

Main Results:

  • Criterion-based programs assessing range of motion, strength, neuromuscular control, and proprioception are vital.
  • Functional tests (e.g., hop tests, Y-balance test) are essential for clearance.
  • Psychological readiness and sport-specific demands influence return to sport decisions.

Conclusions:

  • Comprehensive rehabilitation programs are necessary for athletes with patellar instability.
  • Objective functional testing combined with psychological readiness ensures safe return to sport.
  • Clinicians should utilize these guidelines for effective patient management.