The medial patellofemoral complex.

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Abstract

Conflict of interest statement: CONFLICT OF INTEREST: Both authors declare that they have no conflict of interest. HUMAN AND ANIMAL RIGHTS AND INFORMED CONSENT: All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines). 7. Curr Rev Musculoskelet Med. 2018 Jun;11(2):182-187. doi: 10.1007/s12178-018-9473-4. MPFL in First-Time Dislocators. Shubin Stein BE(1), Gruber S(2), Brady JM(3). Author information: (1)Hospital for Special Surgery, New York City, NY, USA. (2)Hospital for Special Surgery, New York City, NY, USA. grubers@hss.edu. (3)Oregon Health and Science University, Portland, OR, USA. PURPOSE OF REVIEW: Historically, the standard of care for patients with an acute patella dislocation has been non-operative with the exception being those with a loose body or osteochondral fracture requiring fixation or removal. RECENT FINDINGS: Recent literature has brought into question this standard of care approach and defined a higher risk subset of first-time dislocators who may benefit from early operative treatment. In addition, these studies suggest that operative treatment not only reduces the risk of recurrence but may improve outcomes overall and specifically in the pediatric population. Though the "high risk" population of first-time dislocators has been more clearly defined, how we treat them remains controversial. We continue to need more evidence-based guidelines to help us manage who we should be fixing and how we should be fixing them. We currently have several multi-center studies in progress, including one specifically looking at the question of medial patellofemoral ligament reconstruction in first-time pediatric and adolescent dislocators. DOI: 10.1007/s12178-018-9473-4 PMCID: PMC5970108