Principles of Assessment and Management for Recurrent Instability

Description

This VTT transcription appears to be an informative lecture or presentation focused on patellar dislocations, specifically discussing the prevalence, anatomy, risk factors, history, examination, imaging, classification, and treatment options for patellofemoral instability. The speaker, Caroline Hing, presents statistics indicating a concerning frequency of patellar instability among children and offers insights into anatomical considerations and various risk factors like family history of dislocation and congenital syndromes. Detailed accounts of patient history and examination techniques clarify how specialists might approach diagnosis and treatment, highlighting the importance of thorough physical assessments and appropriate imaging techniques such as X-rays and MRIs.



The speaker further discusses classification systems for understanding trochlear dysplasia and the various surgical options for treating dislocations, underscoring the need for individualized treatment plans based on patient demographics and circumstances. Additionally, Hing emphasizes the role of physiotherapy in initial management and warns against outdated or ineffective practices, such as isolated lateral release procedures. There is an appeal to referring complex cases to specialists, particularly for pediatric patients or those with abnormal rotation profiles. The presentation concludes with a call for continued research to improve patient outcomes in the field of knee surgery and instabilities.

DOI: 10.1302/3114-230335

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