Recurrent Patella Dislocation - Advice for the Generalist

Description

In this comprehensive presentation, Tanweer Ashraf, a knee surgeon with a keen interest in patella dislocation, discusses the management and treatment options for patients suffering from this condition. He begins by greeting the audience and acknowledging his experience over the last decade at two hospitals. The talk addresses key clinical questions faced by generalists and specialists alike, such as the necessity of MRI scans, the role of physiotherapy, and the circumstances under which surgical intervention is required.



Ashraf explains the protocol for obtaining MRI scans, focusing on the importance of identifying specific knee injuries like detached osteochondral fragments, rather than less critical issues like MPFL tears. He weighs the necessity of physiotherapy, detailing exercises that enhance core strength and stabilize the patella. Practical tests for assessing physiotherapy effectiveness, such as the single leg dip test and the clamp test, are described.



He then transitions to discussing surgical indications, highlighting his clinic's observations regarding dislocation frequency and age of onset as critical factors in determining the need for surgery. Ashraf provides insights on surgical options, including MPFL reconstruction, while emphasizing the importance of considering the patient's anatomy and underlying conditions before proceeding.



Finally, through illustrations and examples, he clarifies what to look for during clinical examinations to gauge the need for surgical referral and discusses the implications of surgical choices, such as the risks associated with lateral release procedures. Overall, the presentation merges clinical expertise with practical guidance, catering to both general practitioners and knee specialists.

DOI: 10.1302/3114-221983

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