综合评估：髌股关节不稳定的危险因素和“菜单”回顾。
Putting it all Together: Evaluating Patellar Instability Risk Factors and Revisiting the "Menu".
机构信息
Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave South, Suite R200 Minneapolis, MN 55454, USA.
Department of Orthopaedic Surgery, William Beaumont Hospital, 10000 Telegraph Road, Suite 100, Taylor, MI 48180, USA; Oakland University, Rochester, Michigan, USA.
出版信息
Clin Sports Med. 2022 Jan;41(1):109-121. doi: 10.1016/j.csm.2021.07.009.
Management of the patient with multiple risk factors for recurrent patellar instability is complex. Surgeons must possess familiarity with the anatomic risk factors that are associated with first time and recurrent instability events and weigh them in the patient's individualized surgical "menu" options for surgical patellar stabilization. Addressing individual risk factors, pairing imaging findings with physical examination, and thoughts on prioritizing risk factors to determine which should be prioritized for surgical correction are discussed.
对于复发性髌骨不稳定的患者，其管理是复杂的。外科医生必须熟悉与初次和复发性不稳定事件相关的解剖学危险因素，并在患者个体化的手术“菜单”选项中权衡这些因素，以进行髌骨稳定手术。讨论了个别危险因素、影像学表现与体格检查的结合以及优先考虑危险因素的思路，以确定哪些因素应优先进行手术矫正。
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