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Patellaluxation bei Kindern und Jugendlichen

Patella dislocation in children and adolescents

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Zusammenfassung

Akute Patellaluxationen treten bei Kindern und Jugendlichen häufiger als im Erwachsenenalter auf. Eine genaue Analyse des Unfallmechanismus sowie der zugrunde liegenden knöchernen und weichteiligen Risikofaktoren sind die Voraussetzung für eine individuell angepasste Therapieempfehlung. Begleitende (osteo-)chondrale Frakturen stellen eine absolute Operationsindikation dar, während die isolierte Patellaerstluxation bei geringem Risikoprofil für eine Rezidivluxation primär konservativ behandelt werden kann. Eine Empfehlung zur Operation sollte grundsätzlich „a la carte“ ausgesprochen werden, d. h. sich inhaltlich an der zugrunde liegenden Problematik, somit dem individuellen Risikoprofil orientieren. Alle chirurgischen Maßnahmen zur Verbesserung der patellofemoralen Instabilität im Wachstumsalter orientieren sich an einer Integrität der kniegelenknahen Wachstumsfugen.

Abstract

Acute patellar dislocations are more frequent in children and adolescents compared to adults. A clear analysis of trauma mechanism as well as bony and soft tissue risk factors is necessary for an individual treatment approach. Surgery is unavoidable with concomitant (osteo-)chondral lesions, whereas isolated patellar dislocation with low risk for recurrent dislocation can be treated conservatively. If surgery is recommended, an individual approach following the patient’s risk factors should be defined (a la carte surgery). All surgical strategies in adolescents must respect the integrity of the open physis.

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  1. Klinik für Arthroskopische Chirurgie, Sporttraumatologie und Sportmedizin, BG Klinikum Duisburg, Großenbaumer Allee 250, 47249, Duisburg, Deutschland

    Christian Schoepp

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Schoepp, C. Patellaluxation bei Kindern und Jugendlichen. Knie J. 4, 88–93 (2022). https://doi.org/10.1007/s43205-022-00148-w

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  • DOI: https://doi.org/10.1007/s43205-022-00148-w

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