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Patellar Instability — MPFL Reconstruction

Patellar instability often due to MPFL rupture after lateral patellar dislocation. Risk factors: trochlear dysplasia, patella alta, increased TT-TG distance. Clinical: recurrent dislocation, apprehension sign, medial tenderness. Imaging: MRI confirms MPFL injury, evaluates trochlear morphology; CT for TT-TG. Treatment: MPFL reconstruction using hamstring autograft; correct bony factors if severe.

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Patellar instability often due to MPFL rupture after lateral patellar dislocation. Risk factors: trochlear dysplasia, patella alta, increased TT-TG distance. Clinical: recurrent dislocation, apprehension sign, medial tenderness. Imaging: MRI confirms MPFL injury, evaluates trochlear morphology; CT for TT-TG. Treatment: MPFL reconstruction using hamstring autograft; correct bony factors if severe.
MCQs

High-yield practice questions

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Question 1

What is the primary function of the medial patellofemoral ligament (MPFL)?

Question 2

Which imaging modality is best used to confirm an MPFL tear?

Question 3

Which of the following is a key anatomical risk factor for recurrent patellar dislocation?

Question 4

In MPFL reconstruction, what is the ideal graft choice for minimizing donor site morbidity?

Question 5

What is the recommended distance for TT-TG (tibial tuberosity-trochlear groove) to indicate surgical intervention?

Question 6

The MPFL provides its greatest restraining force during which range of knee flexion?

Question 7

What is the most critical step in MPFL reconstruction regarding tunnel placement?

Question 8

Which of the following is NOT an indication for MPFL reconstruction?

Question 9

The VMO (vastus medialis obliquus) contributes to patellar stability by:

Question 10

What is the primary goal of MPFL reconstruction?