Abstract
First-time (primary) patellar dislocation commonly occurs in the young physically active population and is associated with a high rate of recurrent patellar instability and concomitant osteochondral fractures, which may require surgery. The following case report features a 17-year-old male with patellar dislocation and an osteochondral fracture. The patient was treated with an arthroscopic fracture fixation, and isolated medial patellofemoral ligament reconstruction with free gracilis autograft. Patellar stability and cartilage surface were restored, and the patient was able to return to sports at 5 months postoperatively. Three surgeons discuss the case and their perspective on treatment.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Huntington LS, Webster KE, Devitt BM, Scanlon JP, Feller JA. Factors associated with an increased risk of recurrence after a first-time patellar dislocation: a systematic review and meta-analysis. Am J Sports Med. 2020;14(10):2552–62.
Seeley MA, Knesek M, Vanderhave KL. Osteochondral injury after acute patellar dislocation in children and adolescents. J Pediatr Orthop. 2013;33(5):511–8.
Zaidi A, Babyn P, Astori I, et al. MRI of traumatic patellar dislocation in children. Pediatr Radiol. 2006;36(11):1163–70.
Balcarek P, Ammon J, Frosch S, et al. Magnetic resonance imaging characteristics of the medial patellofemoral ligament lesion in acute lateral patellar dislocations considering trochlear dysplasia, patella alta, and tibial tuberosity-trochlear groove distance. Arthroscopy. 2010;26(7):926–35.
Sanders TL, Pareek A, Johnson NR, et al. Patellofemoral arthritis after lateral patellar dislocation: a matched population-based analysis. Am J Sports Med. 2017;45(5):1012–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 ISAKOS
About this chapter
Cite this chapter
Sillanpää, P., Feller, J., Hiemstra, L.A. (2022). Patellofemoral Instability in the Young Male Soccer Player with First-Time Dislocation, Closed Physes, Normal Trochlea: 17-Year-Old. In: Koh, J.L., Kuroda, R., Espregueira-Mendes, J., Gobbi, A. (eds) The Patellofemoral Joint. Springer, Cham. https://doi.org/10.1007/978-3-030-81545-5_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-81545-5_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-81544-8
Online ISBN: 978-3-030-81545-5
eBook Packages: MedicineMedicine (R0)