Chondral injuries in patients with recurrent patellar dislocation: a systematic review

Journal of Orthopaedic Surgery and Research

Emanuela Marsilio¹  Francesco Oliva¹  Nicola Maffulli²  Jörg Eschweiler³  Filippo Migliorini³  Frank Hildebrand³ 

[1] Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy;Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy;School of Pharmacy and Bioengineering, Faculty of Medicine, Keele University, Thornburrow Drive, Stoke on Trent, England;Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, Queen Mary University of London, 275 Bancroft Road, E1 4DG, London, England;Department of Orthopedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany;

关键词: Patellar dislocation;    Chondral damage;    Soft tissues;   

DOI  :  10.1186/s13018-022-02911-1

来源: Springer

【 摘 要 】

BackgroundPatellar dislocations in patients presenting with recurrent patellofemoral instability can damage the surrounding structures, limiting patient’s participation to recreational activities and quality of life. This study evaluated frequency, location, and extent of associated injuries in patients with recurrent patellar dislocation.MethodsThis systematic review was conducted according to the PRISMA checklist. PubMed, Google scholar, Embase, and Web of Science databases were accessed in July 2021. All the published clinical studies reporting frequency, location, and extent of soft tissue lesions in patients with recurrent patellar dislocations were accessed.ResultsData from 9 articles (232 patients) were retrieved. The mean age of the included patients was 21.2 ± 5.6 years. 84.8% of patients suffering from recurrent patellar dislocations demonstrated patellar chondral defects: medial facet (34.9%), while patellar crest (34.8%) and lateral facet (17%). 27.8% of patients demonstrated trochlear chondral injuries.ConclusionChondral defects of the medial facet and the crest of the patella are the most common in patients with recurrent patellofemoral instability.

【 授权许可】

CC BY