2003;19(7):717–21. Text http://orcid.org/0000-0003-2481-7536 Pridie drilling or microfracture are common methods of treatment. This can be a position at which the document has been changed since the most recent event history (stEvt:changed). endstream Second, the follow-up period was relatively short. application/pdf internal Virolainen H, Visuri T, Kuusela T. Acute dislocation of the patella: MR findings. 1985;25(2):160–2. URI pdfToolbox Author information: contains the name of each author and his/her ORCID (ORCiD: Open Researcher and Contributor ID). Am J Sports Med. XMP Paged-Text It is also known as Osteochondritis Dissecans and is common in the knee joint, especially in association with other injuries such as ACL tears. Lastly, there was demographic difference in limb alignment between groups 1 and 2, but it is unclear what effect this would have on successful nonoperative management. Scoring of patellofemoral disorders. And medial imbrication was done (Fig. 2014;22(10):2414–8. Initial conservative treatment of osteochondral fracture of the patella following first-time patellar dislocation. The incidence of osteochondral fractures with ACL injuries may be as high as 80% [20, 21]. Two-thirds of cases are in males 7. Am J Sports Med. 1996;24(1):52–60. A structure containing the characteristics of a font used in a document 2 article feature images from this case. Smith TO, Song F, Donell ST, Hing CB. A retrospective study was performed on the use of bioabsorbable pins in the fixation of osteochondral fractures (OCFs) after traumatic patellar dislocation in children. Cochrane in CORR ((R)): surgical versus non-surgical interventions for treating patellar dislocation (review). Osteochondral fracture can be missed on plain x-ray in 44% to 71% of adolescents’ patients. Surgery should be considered with this type. seriesEditorInfo They found that 28 (72%) of 39 APD knees showed cartilage defects caused by OCF. have reported characteristics of MPFL avulsion injury at patellar attachment. The initial mean Kujala score in group 1 was 51.7 ± 10.5. However, consensus for treatment has not been established yet due to limited research on surgical and non-surgical management for APD [3]. All authors read and approved the final version of the manuscript. 4). Bias because of its retrospective nature. 7 0 obj URI The study was approved by IRB (institutional review board)/EC (Ethics committee) of Dongtan Sacred Heart Hospital, Hallym University, Korea (approval number: HDT 2019–06-016). 3). Previous retrospective comparative study between fixation and non-fixation for OCF after APD with OCF reported that similar redislocation rate between two groups and better functional knee score in non-fixation group [13]. name However, this study was meaningful in that it performed intergroup comparison in which homogenous intervention was performed. Magnetic resonance imaging (MRI) was used to assess patients with APD and OCF from the medial patella. All patients were treated with a supervised course of immobilization followed by progressive range of motion and strength exercise protocol. Company Tae-Soung Kim BMC Musculoskeletal Disorders The mean hip-knee–ankle angle as measured on a standing scanogram was valgus 3 ± 4.5 ° for group 1 and varus 1 ± 6.7 ° for group 2 (p = 0.035). 2006;34(10):1567–73. Privacy Mean Kujala scores between group 1 and group 2. Young-Jin Seo Osteochondral fractures are relatively uncommon injuries that typically present after an acute or subacute traumatic injury. Our results showing that redislocation rate in APD patients with OCFs from medial margin and inferomedial facet was similar to that in APD patients without OCF following conservative treatment partly concurred with a previous report [13, 16]. 2009;91(2):263–73. 36 0 obj Manage cookies/Do not sell my data we use in the preference centre. Most types of patella fractures are closed fractures, in which the patella does not break through the skin. Medial patellar fracture Cofield RH, Bryan RS. An ORCID is a persistent identifier (a non-proprietary alphanumeric code) to uniquely identify scientific and other academic authors. Although wearing a brace or cast may ease the discomfort of an osteochondral lesion, they are usually not enough to remedy the problem permanently, except in children, who can respond well to non-surgical treatment. 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These keywords were added by machine and not by the pull of MPFL avulsion injury at patellar attachment during dislocation.

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