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Instabil patella
Engelsk titel: Patella instability Läs online Författare: Blönd, Lars Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 15067247

Tidskrift

Ugeskrift for Laeger 2015;177(8)752-5 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

In respect to the risk of recurrent patella instability, new biomechanical factors have been ruled out, and among these trochlear dysplasia is the most important single factor. The algorithm for operative intervention should be based upon X-rays and MRI scans. Medial implication is considered obsolete and distal realignment as well as lateral release procedures should be minimized, based upon deteriorating results. Reconstruction of medial structures becomes increasingly frequent, based upon good results, however, in cases of higher degree of trochlear dysplasia, trochleoplasty should be considered.