Knee
Patella
Management of a postoperative persistent patellofemoral instability in a young athlete
Discover the case of a 25 year old recreational athlete who suffered recurrent patellar dislocation and underwent a MPFL reconstruction with harmstring.
The goal of this clinical case is to discuss the therapeutic options in case of persistent patellofemoral instability after MPFL reconstruction.
Hospital Medlife Genesys Arad, Romania
Part one
Clinical presentation
- 25 Y.O. male
- Recreational athlete, football player
- More than 20 episodes of patellar dislocation
- MPFL reconstruction with hamstring 8 months ago
- Persistent patellofemoral instability, no return to activity due to persistent apprehension
- On physical examination, he presents a 5º extension lag, a positive patellar apprehension and J sign, negative quadrant test and a negative patellar tilt
CT
