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- Title
REHABILITATION FOLLOWING MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION FOR PATELLAR INSTABILITY.
- Authors
Manske, Robert C.; Prohaska, Daniel
- Abstract
Patellar instability is a common problem seen by physical therapists, athletic trainers and orthopedic surgeons. Although following an acute dislocation, conservative rehabilitation is usually the first line of defense; refractory cases exist that may require surgical intervention. Substantial progress has been made in the understanding of the medial patellofemoral ligament (MPFL) and its role as the primary stabilizer to lateral patellar displacement. Medial patellofemoral ligament disruption is now considered to be the essential lesion following acute patellar dislocation due to significantly high numbers of ruptures following this injury. Evidence is now mounting that demonstrates the benefits of early reconstruction with a variety of techniques. Recently rehabilitation has become more robust and progressive due to our better understanding of soft tissue reconstruction and repair techniques. The purpose of this manuscript is to describe the etiology of patellar instability, the anatomy and biomechanics and examination of patellofemoral instability, and to describe surgical intervention and rehabilitation following MPFL rupture.
- Subjects
PATELLAR ligament surgery; PATELLA; PATELLAR tendon; BIOMECHANICS; JOINT hypermobility; KNEE; MEDICAL history taking; PATELLA dislocation; PHYSICAL diagnosis; REHABILITATION; PLASTIC surgery; DISEASE complications; ANATOMY
- Publication
International Journal of Sports Physical Therapy, 2017, Vol 12, Issue 3, p494
- ISSN
2159-2896
- Publication type
Article