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Arthroscopic Medial Reefing in Acute Patellar Dislocation

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Patellofemoral Pain, Instability, and Arthritis

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Abstract

An acute lateral patellar dislocation is a complex injury to the knee joint. It is often caused by a combination of valgus force with a planted foot and an internal rotation of the femur or an external rotation of the tibia [29]. The severity of the injury ranges from elongation to complete rupture of the medial parapatellar soft tissue structures. Most often it may be associated with a rupture of the medial parapatellar retinaculum and the medial patellofemoral ligament (MPFL) as well as, more rarely, an osteochondral flake fracture [19, 27]. According to the literature a combined injury to the medial retinaculum and the MPFL may be present in approximately 65% of cases (Fig. 18.1) [25, 28].

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Authors and Affiliations

  1. Center for Knee and Foot Surgery, Sportstraumatology, ATOS Hospital Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Germany

    Rainer Siebold MD, PhD & Nico Sartory MD

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  1. Rainer Siebold MD, PhD
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  2. Nico Sartory MD
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Correspondence to Rainer Siebold MD, PhD .

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Editors and Affiliations

  1. "Centro di Ricerca ""Codivilla-Putti""", Lab. Biomeccanica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, Bologna, 40136, Italy

    Stefano Zaffagnini

  2. Clinique de la Sauvegante, COROLYON, Avenue Ben Gurion 8, Lyon, 69009, France

    David Dejour

  3. Dept. Orthopaedic Surgery, University of Minnesota, Riverside Ave. S. 2450, Minneapolis, 55454, USA

    Elizabeth A. Arendt

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Siebold, R., Sartory, N. (2010). Arthroscopic Medial Reefing in Acute Patellar Dislocation. In: Zaffagnini, S., Dejour, D., Arendt, E. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05424-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-05424-2_18

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  • Online ISBN: 978-3-642-05424-2

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