Parikh Shital N, Lykissas Marios G
Division of Pediatric Orthopaedics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
Department of Orthopaedic Surgery, University of Ioannina School of Medicine, Dompoli 30, Ioannina, PC 45110, Greece.
Orthop Clin North Am. 2016 Jan;47(1):145-52. doi: 10.1016/j.ocl.2015.08.016.
There is significant heterogeneity in the literature related to the causes and treatment of patellar instability. To address the multifactorial issue of patellar instability, the first task is to classify the instability pattern. Once a classification system is developed, future studies can differentiate between treatment recommendations and outcomes for each instability pattern. Existing classification systems do not include the entire spectrum of patellar instability patterns. The aim of this article is to review the nomenclature and existing patellar instability classification systems and analyze the different patterns into a comprehensive system.
关于髌骨不稳定的病因和治疗,文献中存在显著的异质性。为了解决髌骨不稳定的多因素问题,首要任务是对不稳定模式进行分类。一旦建立了分类系统,未来的研究就可以区分每种不稳定模式的治疗建议和结果。现有的分类系统并未涵盖髌骨不稳定模式的全谱。本文的目的是回顾命名法和现有的髌骨不稳定分类系统,并将不同模式分析整合为一个综合系统。