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Articular Cartilage Injuries Associated with Patellar Dislocation

  • Michael IosifidisEmail author
  • Ioannes Melas
  • Efthymios Iliopoulos
  • Dimitrios Metaxiotis
Chapter

Abstract

Patellar dislocation and recurrent instability are common and affect predominantly the younger population, especially athletes. Patellar dislocation is often combined with articular cartilage lesions. From bone bruises to large osteochondral fractures, articular cartilage lesions have been reported in as many as 95% after patellar dislocation. Chondral and osteochondral injuries are often associated with acute traumatic dislocation. However, during low-energy patellar dislocation, a lower incidence of osteochondral damage is reported. Recurrent instability can increase articular cartilage lesion severity and increase the risk of joint degeneration and the development of osteoarthritis. Articular cartilage lesions should be treated with fixation or reconstruction of the articular surface. It is important to recognize the underlying predisposing factors for instability and treat them along with the chondral or osteochondral lesions.

Keywords

Patellofemoral joint Patella dislocation Instability Articular cartilage lesions 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael Iosifidis
    • 1
    Email author
  • Ioannes Melas
    • 2
  • Efthymios Iliopoulos
    • 2
  • Dimitrios Metaxiotis
    • 3
  1. 1.Orthopaedic and Sports Medicine, Greek Arthroscopy SocietyOrthoBiology, Surgery CenterThessalonikiGreece
  2. 2.Orthopaedic and Sports MedicineOrthoBiology, Surgery CenterThessalonikiGreece
  3. 3.2nd Orthopaedic DepartmentPapageorgiou G. HospitalThessalonikiGreece

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