Orthopaedics and Trauma
Volume 24, Issue 2 , Pages 139-148, April 2010

(vii) Patellofemoral instability

Neil Upadhyay MRCS (Eng) Specialist Registrar, Department of Orthopaedics, Bristol Royal Infirmary, University Hospitals Bristol, Bristol, UK

Charles Wakeley FRCS FRCR Consultant Radiologist, Department of Radiology, Bristol Royal Infirmary, University Hospitals Bristol, Bristol, UK

Jonathan D J Eldridge FRCS (Orth) Consultant Orthopaedic Surgeon, Department of Orthopaedics, Bristol Royal Infirmary, University Hospitals Bristol, Bristol, UK

Abstract 

The accurate assessment and management of the unstable patellofemoral joint depends on knowledge of the anatomy and stabilizing structures. Surgery should not be considered until non-operative interventions have failed and the recurrent nature of the disease has resulted in functional impairment. The surgical strategy should, whenever possible, aim to restore normal anatomy rather than introduce new abnormalities. Often a combination of surgical techniques is required.

Keywords: patellar dislocation, patellofemoral dysplasia, patellar instability, patellofemoral malalignment

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PII: S1877-1327(10)00034-5

doi:10.1016/j.mporth.2010.03.009

Orthopaedics and Trauma
Volume 24, Issue 2 , Pages 139-148, April 2010

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