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Recurrent Patellar Instability

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Patellofemoral Pain and Instability

Abstract

Recurrent patellofemoral instability is a disabling condition and can be associated with a variety of anatomic factors. Management of recurrent patellar instability remains challenging and it is imperative to have a comprehensive knowledge of the anatomy and biomechanics of the patellofemoral joint. A detailed history and thorough clinical examination are key to formulating an appropriate management plan. Trochlear dysplasia, patella alta, an increased tibial tubercle-trochlear groove distance, and soft tissue abnormalities are all anatomical factors that should be considered when treating a patient with recurrent patellar instability. Surgical treatment is based on the underlying anatomical pathology with an aim to restore normal patellofemoral kinematics. This chapter will focus on the treatment options and outcomes of recurrent patellar instability.

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Author information

Authors and Affiliations

  1. Inova Sports Medicine, Georgetown University Medical Center, Washington, DC, USA

    Robin West

  2. Virginia Commonwealth University School of Medicine, Richmond, VA, USA

    Robin West

  3. Department of Orthopedic Surgery, Georgetown University Hospital, Washington, DC, USA

    Ryan S. Murray & Daniel M. Dean

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  1. Robin West
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  2. Ryan S. Murray
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  3. Daniel M. Dean
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Correspondence to Robin West .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Beth E. Shubin Stein

  2. Hospital for Special Surgery, New York, NY, USA

    Sabrina M. Strickland

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West, R., Murray, R.S., Dean, D.M. (2019). Recurrent Patellar Instability. In: Shubin Stein, B., Strickland, S. (eds) Patellofemoral Pain and Instability. Springer, Cham. https://doi.org/10.1007/978-3-319-97640-2_8

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  • DOI: https://doi.org/10.1007/978-3-319-97640-2_8

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