Management of the first-time lateral patellar dislocation.
Identifieur interne : 000852 ( Main/Exploration ); précédent : 000851; suivant : 000853Management of the first-time lateral patellar dislocation.
Auteurs : David Sands Johnson [Royaume-Uni] ; Philip Gartside Turner [Royaume-Uni]Source :
- The Knee [ 1873-5800 ] ; 2019.
Descripteurs français
- KwdFr :
- Consensus (MeSH), Femelle (MeSH), Humains (MeSH), Instabilité articulaire (chirurgie), Instabilité articulaire (diagnostic), Instabilité articulaire (étiologie), Luxation patellaire (diagnostic), Luxation patellaire (thérapie), Luxation patellaire (étiologie), Mâle (MeSH), Orthopédie (MeSH), Récidive (MeSH), Traitement conservateur (MeSH).
- MESH :
- chirurgie : Instabilité articulaire.
- diagnostic : Instabilité articulaire, Luxation patellaire.
- thérapie : Luxation patellaire.
- étiologie : Instabilité articulaire, Luxation patellaire.
- Consensus, Femelle, Humains, Mâle, Orthopédie, Récidive, Traitement conservateur.
English descriptors
- KwdEn :
- Consensus (MeSH), Conservative Treatment (MeSH), Female (MeSH), Humans (MeSH), Joint Instability (diagnosis), Joint Instability (etiology), Joint Instability (surgery), Male (MeSH), Orthopedics (MeSH), Patellar Dislocation (diagnosis), Patellar Dislocation (etiology), Patellar Dislocation (therapy), Recurrence (MeSH).
- MESH :
- diagnosis : Joint Instability, Patellar Dislocation.
- etiology : Joint Instability, Patellar Dislocation.
- surgery : Joint Instability.
- therapy : Patellar Dislocation.
- Consensus, Conservative Treatment, Female, Humans, Male, Orthopedics, Recurrence.
Abstract
BACKGROUND
Little guidance exists on the management of the first-time patellar dislocation. The aim of this article was to review current guidance for management of this condition.
METHODS
Recent meta-analyses, systematic reviews and current consensus documents relating to first-time patellar dislocation were sourced. An instructional lecture was then created and delivered at the acute knee injuries session at the British Orthopaedic Association 2019 annual conference, which was presented on behalf of the British Association for Surgery of the Knee. This article has been written based on this lecture.
RESULTS
There is a paucity of literature relating to management of the first-time patellar dislocation. Many studies are of poor design, with inadequate follow-up, making it difficult to draw conclusions from them. However, based upon available information and consensus from working groups it is recommended that patients presenting with first-time dislocation should be assessed to ensure they have not sustained an alternative or associated injury that may require surgical intervention, be assessed and counselled for the risk of recurrent dislocation, and be referred for initial conservative treatment. Surgical stabilisation should be reserved for patients with recurrent instability.
CONCLUSIONS
Most patients with a first-time patellar dislocation can be managed conservatively, having excluded associated injuries. Due to the poor quality of the literature, care must be taken interpreting the results of studies. It is clear that further research is required in this field.
DOI: 10.1016/j.knee.2019.10.015
PubMed: 31727430
Affiliations:
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Electronic address: david.johnson@stockport.nhs.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country></affiliation></author><author><name sortKey="Turner, Philip Gartside" sort="Turner, Philip Gartside" uniqKey="Turner P" first="Philip Gartside" last="Turner">Philip Gartside Turner</name><affiliation wicri:level="4"><nlm:affiliation>Department of Trauma and Orthopaedics, Stockport NHS Foundation Trust, Aspen House, Stepping Hill Hospital, Poplar Grove, Stockport SK2 7JE, United Kingdom of Great Britain and Northern Ireland; School of Health and Society, Mary Seacole Building, University of Salford, Frederick Road Campus, Salford M6 6PU, United Kingdom of Great Britain and Northern Ireland.</nlm:affiliation><orgName type="university">Université de Salford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Manchester</settlement><settlement type="town">Salford</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31727430</idno><idno type="pmid">31727430</idno><idno type="doi">10.1016/j.knee.2019.10.015</idno><idno type="wicri:Area/Main/Corpus">000617</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000617</idno><idno type="wicri:Area/Main/Curation">000617</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000617</idno><idno type="wicri:Area/Main/Exploration">000617</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Management of the first-time lateral patellar dislocation.</title><author><name sortKey="Johnson, David Sands" sort="Johnson, David Sands" uniqKey="Johnson D" first="David Sands" last="Johnson">David Sands Johnson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Trauma and Orthopaedics, Stockport NHS Foundation Trust, Aspen House, Stepping Hill Hospital, Poplar Grove, Stockport SK2 7JE, United Kingdom of Great Britain and Northern Ireland; School of Health and Society, Mary Seacole Building, University of Salford, Frederick Road Campus, Salford M6 6PU, United Kingdom of Great Britain and Northern Ireland. Electronic address: david.johnson@stockport.nhs.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country></affiliation></author><author><name sortKey="Turner, Philip Gartside" sort="Turner, Philip Gartside" uniqKey="Turner P" first="Philip Gartside" last="Turner">Philip Gartside Turner</name><affiliation wicri:level="4"><nlm:affiliation>Department of Trauma and Orthopaedics, Stockport NHS Foundation Trust, Aspen House, Stepping Hill Hospital, Poplar Grove, Stockport SK2 7JE, United Kingdom of Great Britain and Northern Ireland; School of Health and Society, Mary Seacole Building, University of Salford, Frederick Road Campus, Salford M6 6PU, United Kingdom of Great Britain and Northern Ireland.</nlm:affiliation><orgName type="university">Université de Salford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Manchester</settlement><settlement type="town">Salford</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author></analytic><series><title level="j">The Knee</title><idno type="eISSN">1873-5800</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Consensus (MeSH)</term><term>Conservative Treatment (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Joint Instability (diagnosis)</term><term>Joint Instability (etiology)</term><term>Joint Instability (surgery)</term><term>Male (MeSH)</term><term>Orthopedics (MeSH)</term><term>Patellar Dislocation (diagnosis)</term><term>Patellar Dislocation (etiology)</term><term>Patellar Dislocation (therapy)</term><term>Recurrence (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Consensus (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Instabilité articulaire (chirurgie)</term><term>Instabilité articulaire (diagnostic)</term><term>Instabilité articulaire (étiologie)</term><term>Luxation patellaire (diagnostic)</term><term>Luxation patellaire (thérapie)</term><term>Luxation patellaire (étiologie)</term><term>Mâle (MeSH)</term><term>Orthopédie (MeSH)</term><term>Récidive (MeSH)</term><term>Traitement conservateur (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Instabilité articulaire</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Joint Instability</term><term>Patellar Dislocation</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Instabilité articulaire</term><term>Luxation patellaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Joint Instability</term><term>Patellar Dislocation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Joint Instability</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Patellar Dislocation</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Luxation patellaire</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Instabilité articulaire</term><term>Luxation patellaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Consensus</term><term>Conservative Treatment</term><term>Female</term><term>Humans</term><term>Male</term><term>Orthopedics</term><term>Recurrence</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Consensus</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Orthopédie</term><term>Récidive</term><term>Traitement conservateur</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Little guidance exists on the management of the first-time patellar dislocation. The aim of this article was to review current guidance for management of this condition.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Recent meta-analyses, systematic reviews and current consensus documents relating to first-time patellar dislocation were sourced. An instructional lecture was then created and delivered at the acute knee injuries session at the British Orthopaedic Association 2019 annual conference, which was presented on behalf of the British Association for Surgery of the Knee. This article has been written based on this lecture.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>There is a paucity of literature relating to management of the first-time patellar dislocation. Many studies are of poor design, with inadequate follow-up, making it difficult to draw conclusions from them. However, based upon available information and consensus from working groups it is recommended that patients presenting with first-time dislocation should be assessed to ensure they have not sustained an alternative or associated injury that may require surgical intervention, be assessed and counselled for the risk of recurrent dislocation, and be referred for initial conservative treatment. Surgical stabilisation should be reserved for patients with recurrent instability.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Most patients with a first-time patellar dislocation can be managed conservatively, having excluded associated injuries. Due to the poor quality of the literature, care must be taken interpreting the results of studies. It is clear that further research is required in this field.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31727430</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>31</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5800</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>6</Issue><PubDate><Year>2019</Year><Month>Dec</Month></PubDate></JournalIssue><Title>The Knee</Title><ISOAbbreviation>Knee</ISOAbbreviation></Journal><ArticleTitle>Management of the first-time lateral patellar dislocation.</ArticleTitle><Pagination><MedlinePgn>1161-1165</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0968-0160(19)30241-8</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.knee.2019.10.015</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Little guidance exists on the management of the first-time patellar dislocation. The aim of this article was to review current guidance for management of this condition.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Recent meta-analyses, systematic reviews and current consensus documents relating to first-time patellar dislocation were sourced. An instructional lecture was then created and delivered at the acute knee injuries session at the British Orthopaedic Association 2019 annual conference, which was presented on behalf of the British Association for Surgery of the Knee. This article has been written based on this lecture.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">There is a paucity of literature relating to management of the first-time patellar dislocation. Many studies are of poor design, with inadequate follow-up, making it difficult to draw conclusions from them. However, based upon available information and consensus from working groups it is recommended that patients presenting with first-time dislocation should be assessed to ensure they have not sustained an alternative or associated injury that may require surgical intervention, be assessed and counselled for the risk of recurrent dislocation, and be referred for initial conservative treatment. Surgical stabilisation should be reserved for patients with recurrent instability.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Most patients with a first-time patellar dislocation can be managed conservatively, having excluded associated injuries. Due to the poor quality of the literature, care must be taken interpreting the results of studies. It is clear that further research is required in this field.</AbstractText><CopyrightInformation>Crown Copyright © 2019. Published by Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>David Sands</ForeName><Initials>DS</Initials><AffiliationInfo><Affiliation>Department of Trauma and Orthopaedics, Stockport NHS Foundation Trust, Aspen House, Stepping Hill Hospital, Poplar Grove, Stockport SK2 7JE, United Kingdom of Great Britain and Northern Ireland; School of Health and Society, Mary Seacole Building, University of Salford, Frederick Road Campus, Salford M6 6PU, United Kingdom of Great Britain and Northern Ireland. Electronic address: david.johnson@stockport.nhs.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Turner</LastName><ForeName>Philip Gartside</ForeName><Initials>PG</Initials><AffiliationInfo><Affiliation>Department of Trauma and Orthopaedics, Stockport NHS Foundation Trust, Aspen House, Stepping Hill Hospital, Poplar Grove, Stockport SK2 7JE, United Kingdom of Great Britain and Northern Ireland; School of Health and Society, Mary Seacole Building, University of Salford, Frederick Road Campus, Salford M6 6PU, United Kingdom of Great Britain and Northern Ireland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Knee</MedlineTA><NlmUniqueID>9430798</NlmUniqueID><ISSNLinking>0968-0160</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Knee. 2020 Mar;27(2):607</RefSource><PMID Version="1">32122769</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Knee. 2020 Mar;27(2):608</RefSource><PMID Version="1">32122770</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072700" MajorTopicYN="N">Conservative Treatment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007593" MajorTopicYN="N">Joint Instability</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009985" MajorTopicYN="N">Orthopedics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D031222" MajorTopicYN="N">Patellar Dislocation</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Dislocation</Keyword><Keyword MajorTopicYN="N">Instability</Keyword><Keyword MajorTopicYN="N">Patella</Keyword><Keyword MajorTopicYN="N">Patellofemoral</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>10</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>10</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31727430</ArticleId><ArticleId IdType="pii">S0968-0160(19)30241-8</ArticleId><ArticleId IdType="doi">10.1016/j.knee.2019.10.015</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li><li>Salford</li></settlement><orgName><li>Université de Salford</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Johnson, David Sands" sort="Johnson, David Sands" uniqKey="Johnson D" first="David Sands" last="Johnson">David Sands Johnson</name></noRegion><name sortKey="Turner, Philip Gartside" sort="Turner, Philip Gartside" uniqKey="Turner P" first="Philip Gartside" last="Turner">Philip Gartside Turner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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