The Impact of Anatomical Predisposition and Mechanism of Trauma on Dislocation of the Patella: A Retrospective Analysis of 104 Cases
Abstract
:1. Introduction
2. Aim of the Study
3. Methods
4. Results
4.1. Adults
4.1.1. Demographics
4.1.2. Geometric Anatomical Data
4.1.3. Effects of Trauma
4.1.4. Treatment
4.2. Children and Adolescents
4.2.1. Demographics
4.2.2. Geometric Anatomical Data
4.2.3. Effects of Trauma
4.2.4. Treatment
4.3. Categories of Trauma Mechanisms
4.3.1. Rotational Trauma
4.3.2. Direct Impact
4.3.3. Fall
4.3.4. Insufficient Trauma
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Rotational Trauma | Direct Impact | Fall | Insufficient Trauma | |||||
---|---|---|---|---|---|---|---|---|
Pediatric Group | Adult Group | Pediatric Group | Adult Group | Pediatric Group | Adult Group | Pediatric Group | Adult Group | |
median age (years) | 14 [9; 18] | 28 [19; 45] | 14 [11; 17] | 23 [19; 30] | 14 [10; 18] | 44 [32; 48] | 17 [13; 18] | 26 [20; 40] |
proportion of valgus deviation (%) | 32 | 23 | 33 | 40 | 57 | / | 29 | 10 |
median tigh torsion (°) | −29 [−44; −12] | −28 [−45; −1] | −27 [−51; −22] | −24 [−31; −20] | −22 [−25; −19] | / | −24 [−46; −13] | −21 [−33; −18] |
median lower leg torsion (°) | 30 [23; 48] | 35 [28; 40] | 36 [17; 46] | 38 [27; 51] | 23 [17; 38] | / | 33 [28; 40] | 39 [19; 42] |
TTTG value (mm) | 17 [9; 24] | 18 [10; 27] | 17 [8; 21] | 16 [11; 35] | 14 [8; 24] | 19 [17; 22] | 16 [10; 23] | 18 [8; 22] |
median lateral trochlear inclination (°) | 14 [8; 21] | 16 [7; 20] | 13 [9; 18] | 19 [17; 24] | 17 [4; 20] | 11 [9; 15] | 9 [7; 16] | 18 [9; 24] |
ratio of trochlea dysplasia | 50 | 38 | 78 | 0 | 43 | 75 | 50 | 20 |
patella height: proportion of normal to high-riding and high-riding (%) | 64 | 42 | 89 | 60 | 43 | 25 | 57 | 70 |
proportion of “healthy knees” (%) | 16 | 25 | 13 | 20 | 60 | 33 | 5 | 13 |
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Schubert, I.; Morris, P.; Dickschas, J.; Strohm, P.C. The Impact of Anatomical Predisposition and Mechanism of Trauma on Dislocation of the Patella: A Retrospective Analysis of 104 Cases. J. Pers. Med. 2023, 13, 84. https://doi.org/10.3390/jpm13010084
Schubert I, Morris P, Dickschas J, Strohm PC. The Impact of Anatomical Predisposition and Mechanism of Trauma on Dislocation of the Patella: A Retrospective Analysis of 104 Cases. Journal of Personalized Medicine. 2023; 13(1):84. https://doi.org/10.3390/jpm13010084
Chicago/Turabian StyleSchubert, Ilona, Patrick Morris, Jörg Dickschas, and Peter C. Strohm. 2023. "The Impact of Anatomical Predisposition and Mechanism of Trauma on Dislocation of the Patella: A Retrospective Analysis of 104 Cases" Journal of Personalized Medicine 13, no. 1: 84. https://doi.org/10.3390/jpm13010084