AANA19 Knee Access Pass-Questions and Answers_ Concurrent Scientific Session IV_ Paper Presentations - Meniscus and Patellofemoral II-Dr. Mario Hevesi, M.D., FRCSC.

Questions and Answers_ Concurrent Scientific Session IV_ Paper Presentations - Meniscus and Patellofemoral II-Dr. Mario Hevesi, M.D., FRCSC.

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Video Summary

The panel discussed the Mayo Clinic's RIP study on patellofemoral instability, noting patella alta wasn't assigned points due to its lack of independent predictive value in multivariate analysis. Outcomes show around 23-27% of patients still experience knee issues, mainly pain or dysfunction, not instability. Return to pre-injury sports varies by age and activity level. Differences in MPFL (medial patellofemoral ligament) injuries relate to anatomical factors affecting knee stability. Counseling patients now includes discussing not only recurrence but also potential limitations in returning to prior activity levels, emphasizing realistic expectations and personalized guidance based on lifestyle and demands.

Keywords

Mayo Clinic RIP study

patellofemoral instability

patella alta

MPFL injuries

return to sports outcomes