Approach to a Case of PFI: Concepts and Algorithm

Description

In this presentation by Hazem Farouk at BOSTAA 2021, the speaker addresses the topic of patellofemoral instability, particularly focusing on understanding the presentation and management of cases involving this condition. The discussion starts with a case study of a 35-year-old recreational athlete who experienced a kneecap dislocation. Farouk outlines a systematic approach to managing such cases, which includes thorough patient history, physical examination, and necessary imaging to formulate a treatment plan.



Key points include differentiating between acute dislocations and episodes of instability, classifying instability severity, and exploring both conservative management and surgical options based on individual pathology. The need for detailed evaluation, including physical assessments and various imaging techniques, is emphasized to inform the decision-making process. Throughout the speech, the importance of tailoring surgical interventions, such as medial patellofemoral ligament (MPFL) reconstruction, based on the specific findings and characteristics of each case is highlighted.



Interactive segments inquire about the efficacy of conservative management for minor cases, predicting risks of recurrence after dislocation, and the potential for further injury to cartilage without clear dislocation episodes. The speaker stresses the anatomical consideration during surgical procedures, concluding with insights on postoperative outcomes and necessary follow-ups to ensure successful returns to activity.

DOI: 10.1302/3114-210608

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