APEX Knee Navigating Pearls and Pitfalls-First Time Patella Dislocation

Video Transcription

Video Summary

In this video, Seth Sherman from Stanford University discusses first-time patella dislocation surgery and the controversial topic of whether it is necessary. He emphasizes the importance of considering patella dislocation in sports-related injuries and highlights that x-rays may not always show evidence of dislocation. He discusses the lack of consensus on early mobilization and weight-bearing and suggests using brace protection, range of motion, and weight-bearing with crutches. He also focuses on evaluating risk factors for recurrence, such as abnormal bony architecture, patella alta, trochlear dysplasia, lateralized force vector, and patella tilt. Sherman mentions the primary restraint to lateral translation of the patella, which is the MPFL, and the high incidence of chondral and osteochondral injuries associated with patella dislocation. He discusses the need for better risk stratification and operative treatment for high-risk patients. Sherman concludes by mentioning ongoing studies that will provide more answers in the future and highlights the importance of evaluating functional outcomes and quality of life when considering treatment options. The video was delivered by Seth Sherman from Stanford University and was part of the Anna Advanced knee course. However, no specific credits were mentioned in the transcript.

Asset Caption

Seth Sherman, M.D.

Keywords

patella dislocation

Seth Sherman

MPFL

risk factors

surgery necessity