AANA Knee Arthroscopy - September 2024-First Time Patella Dislocation

First Time Patella Dislocation - Surgery or Not?

Video Transcription

Video Summary

Dr. Seth Sherman from Stanford discusses first-time patella dislocation management, highlighting its complexity and lack of consensus. Most cases are sports-related, often reducing spontaneously, requiring careful diagnosis. Early mobilization with brace protection and weight-bearing is favored over immobilization. Key risk factors for recurrence include patella alta, trochlear dysplasia, lateralized force vector, and patella tilt. Risk stratification aids treatment decisions, moving away from universal non-operative care. Surgery is reserved for cases with loose bodies or high recurrence risk, focusing on MPFL reconstruction over repair. Ongoing studies seek to clarify optimal treatment, while non-operative rehab remains standard for most patients.

Asset Caption

Seth Sherman, M.D.

Keywords

patella dislocation

first-time management

risk factors

non-operative rehabilitation

MPFL reconstruction