Patellar dislocation recurrence after pediatric MPFL reconstruction: Bone tunnels and soft tissues versus suture anchors and interference screw.

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Abstract

[Indexed for MEDLINE] 17. Curr Rev Musculoskelet Med. 2022 Dec;15(6):597-605. doi: 10.1007/s12178-022-09792-1. Epub 2022 Nov 11. Return to Play Considerations After Patellar Instability. Lampros RE(1), Tanaka MJ(2). Author information: (1)Sports Physical Therapy, Massachusetts General Hospital, Boston, MA, USA. (2)Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 175 Cambridge Street, Suite 400, Boston, MA, 02114, USA. Mtanaka5@mgh.harvard.edu. PURPOSE OF REVIEW: To discuss the treatment options and rehabilitation protocols after non-operative and operative treatment of patellar instability, and to discuss expected return to play outcomes and functional performance with non-operative and operative treatment of patellar instability. RECENT FINDINGS: A criterion-based program assessing range of motion, joint effusion, strength, neuromuscular control, proprioception, agility, and power are critical measures to assess when rehabilitating this population. A series of functional tests including quadriceps strength testing, single-limb hop testing, lateral step-down test, the side hop test, the lateral leap and catch test, the Y-balance test, and the depth jump should be considered when determining an athlete's return to sport clearance. These objective measures combined with psychological readiness and a comprehensive understanding of the sports-specific tasks required for participation should be considered when evaluating an athlete's ability to safely and successfully return to sport. We discuss rehabilitation management when working with non-operative and operative management of patellar instability and provide considerations for clinicians working with these athletes to facilitate safe return to sport. © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. DOI: 10.1007/s12178-022-09792-1 PMCID: PMC9789273