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髌股关节不稳定：现状与未来展望。

Patellofemoral instability: Current status and future perspectives.

作者信息

Migliorini Filippo, Maffulli Nicola, Vaishya Raju

机构信息

Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, 52074, Aachen, Germany.

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081, Baronissi, Italy.

出版信息

J Orthop. 2022 Dec 21;36:49-50. doi: 10.1016/j.jor.2022.12.010. eCollection 2023 Feb.

DOI:10.1016/j.jor.2022.12.010
PMID:36594079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9804008/
Abstract

The patellofemoral joint is complex, and the management of the first patellar dislocation is not well decoded. The progression to recurrent instability is common. Bony anatomy, muscle tone, and soft tissues are essential stabilizers to preserve the physiological patellar tracking, and they should be carefully evaluated when facing patients with instability.

摘要

髌股关节结构复杂，初次髌骨脱位的处理方法尚未完全明确。发展为复发性不稳定的情况很常见。骨骼解剖结构、肌张力和软组织是维持髌骨生理轨迹的重要稳定因素，在面对不稳定患者时应仔细评估。

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Patellofemoral instability: Current status and future perspectives.髌股关节不稳定：现状与未来展望。
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本文引用的文献

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Patellar medial closing-wedge osteotomy in patello-femoral instability: Indications and outcomes.髌股关节不稳的髌骨内侧闭合楔形截骨术：适应证与疗效
J Orthop. 2022 Jun 14;32:156-159. doi: 10.1016/j.jor.2022.06.005. eCollection 2022 Jul-Aug.
2
High Rates of Damage to the Medial Patellofemoral Ligament, Lateral Trochlea, and Patellar Crest After Acute Patellar Dislocation: Magnetic Resonance Imaging Analysis.急性髌骨脱位后内侧髌股韧带、外侧滑车和髌骨嵴损伤的高发生率：磁共振成像分析。
Arthroscopy. 2022 Aug;38(8):2472-2479. doi: 10.1016/j.arthro.2022.01.044. Epub 2022 Feb 12.
3
Chondral injuries in patients with recurrent patellar dislocation: a systematic review.复发性髌骨脱位患者的软骨损伤：系统评价。
J Orthop Surg Res. 2022 Jan 31;17(1):63. doi: 10.1186/s13018-022-02911-1.
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Prognostic factors for isolated medial patellofemoral ligament reconstruction: A systematic review.孤立性内侧髌股韧带重建的预后因素：系统评价。
Surgeon. 2022 Aug;20(4):e112-e121. doi: 10.1016/j.surge.2021.03.003. Epub 2021 May 4.
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