Chondral and Soft Tissue Injuries Associated to Acute Patellar Dislocation: A Systematic Review
Abstract
:1. Introduction
2. Material and Methods
2.1. Search Strategy
- Problem: first time patellar dislocation;
- Outcome: soft tissue injuries.
2.2. Literature Search
2.3. Eligibility Criteria
2.4. Outcomes of Interest
2.5. Methodology Quality Assessment
2.6. Statistical Analysis
3. Results
3.1. Search Result
3.2. Methodological Quality Assessment
3.3. Patient Demographics
3.4. MRI Findings
3.5. Arthroscopic Findings
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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PEDro Score | |
---|---|
1. Eligibility criteria | 98% (41 of 42) |
2. Random allocation | 0% (0 of 42) |
3. Concealed allocation | 43% (18 of 42) |
4. Baseline comparability | 86% (36 of 42) |
5. Blind subject | 43% (18 of 42) |
6. Blind clinician | 0% (0 of 42) |
7. Blind assessor | 21% (9 of 42) |
8. Adequate follow-up | 93% (39 of 42) |
9. Intention-to-treat analysis | 95% (40 of 42) |
10. Between-group analysis | 90% (38 of 42) |
11. Point estimates and variability | 74% (31 of 42) |
Author, Year | Journal Name | Design | Knees (n) | Mean Age (Mean) |
---|---|---|---|---|
Bui et al., 2008 [36] | Skeletal Radiol | RCS | 20 | 31 |
Callewier et al., 2009 [37] | Orthop Traumatol Surg Res | CR | 1 | 23 |
Cavalheiro et al., 2018 [38] | Rev Bras Ortop | CR | 1 | 13 |
Cho et al., 2009 [39] | J Manipulative Physiol Ter | CR | 1 | 16 |
Elias et al., 2002 [40] | Radiology | RCS | 82 | 20 |
Felus et al., 2008 [41] | J Pediatr Orthop | PCS | 22 | 14 |
Gesslein et al., 2019 [42] | Cartilage | RCS | 53 | 19.5 |
Gormeli et al., 2016 [43] | J Pak Med Assoc | CR | 1 | 41 |
Guerrero et al., 2009 [14] | Sports Med Arthrosc Rehabil Ther Technol | RCS | 195 | 23 |
Jabalameli et al., 2017 [44] | J Surg Case Rep | CR | 3 | 17 |
Jalan et al., 2014 [45] | J Clin Diagn Res | CR | 1 | 30 |
Kang et al., 2018 [46] | Chin Med J (Engl) | RCS | 43 | 14.1 |
Lee et al., 2013 [47] | Knee Surg Sports Traumatol Arthrosc | RCS | 9 | 14.6 |
Lee et al., 2020 [48] | J Orthop Surg (Hong Kong) | CR | 1 | 16 |
Maleki et al., 2019 [49] | Biomed Res Int | CS | 17 | 14.1 |
Maletius et al., 1994 [50] | Arthroscopy | CR | 2 | 19.5 |
Mashoof et al., 2005 [51] | Arthroscopy | RCS | 7 | 24 |
Megremis et al., 2019 [52] | J Am Acad Orthop Surg Glob Res Rev | CR | 1 | 14 |
Nakagawa et al., 2014 [53] | Case Rep Orthop | CR | 2 | 14.5 |
Nietosvaara et al., 1994 [54] | J Pediatr Orthop | PCS | 72 | 13.3 |
Nomura et al., 2003 [15] | Arthroscopy | CS | 39 | 18 |
Nomura et al., 2005 [55] | Osteoarthritis Cartilage | RCS | 30 | 17.2 |
Paakkala et al., 2010 [56] | Skeletal Radiol | CS | 23 | 19–45 |
Park et al., 2020 [57] | JBJS Case Connect | CR | 1 | 15 |
Pedowitz et al., 2019 [58] | Am J Sports Med | RCS | 41 | 13.8 |
Quinn et al., 1993 [59] | J Magn Reson Imaging | CS | 8 | |
Sallay et al., 1996 [60] | Am J Sports Med | RCS | 12 | 25 |
Sanders et al., 2017 [61] | Am J Sports Med | PCS | 609 | 21.4 |
Sanders et al., 2018 [62] | Knee Surg Sports Traumatol Arthrosc | PCS | 232 | 14.1 |
Saragaglia et al., 2020 [63] | Int Orthop | PCS | 39 | 23 |
Seeley et al., 2012 [64] | J Pediatr Orthop | RCS | 111 | 14.9 |
Seeley et al., 2013 [65] | J Pediatr Orthop | RCS | 46 | 14.6 |
Stanitski 1995 [66] | Am J Sports Med | CS | 17 | 13.8 |
Stanitski et al., 1998 [67] | Am J Sports Med | CS | 48 | 14 |
von Engelhardt et al., 2010 [68] | BMC Muskuloskelet Disord | CS | 40 | 21.5 |
Vollnberg et al., 2012 [69] | Eur Radiol | RCS | 51 | 22.4 |
Wissmann et al., 2009 [70] | J Comput Assist Tomogr | RCS | 14 | 33 |
Wilson et al., 2013 [71] | Orthop J Sports Med | CS | 36 | 14.5 |
Zaidi et al., 2006 [72] | Pediatr Radiol | RCS | 26 | 13.9 |
Zhang et al., 2013 [73] | Injury | RCS | 49 | 24.5 |
Zhang et al., 2015 [74] | Injury | PCS | 121 | 25 |
Zheng et al., 2015 [75] | Injury | PCS | 127 | 14.1 |
First Time Patellar Dislocation—MRI Findings | |
---|---|
Evidence of lateral trochlea damage (Outerbridge) | 47% (191 of 410) |
I (6.2%) | |
II (17.5%) | |
III (9.3%) | |
IV (10.3%) | |
V (11.3%) | |
Evidence of patellar damage (Outerbridge) | 85% (85 of 100) |
I (17.6%) | |
II (32.4%) | |
III (20.3%) | |
IV (31.1%) | |
V (0%) | |
Free loose bodies | 11.5% (183 of 1589) |
MPFL tear | 98% (1031 of 1052) |
patellar site | 48.0% (315 of 656) |
femoral site | 33.7% (268 of 402) |
midportion | 18.2% (73 of 402) |
First Time Patellar Dislocation—Arthroscopic Findings | |
---|---|
Lateral patellar facet (ICRS) | I (2.8%) |
II (2.8%) | |
III (2.8%) | |
IV (0%) | |
Medial patellar facet (ICRS) | I (2.8%) |
II (18.3%) | |
III (15.5%) | |
IV (29.6%) | |
Median crest lesions (ICRS) | I (7.0%) |
II (19.7%) | |
III (8.5%) | |
IV (18.3%) | |
Trochlea (ICRS) | I (9.7%) |
II (13.9%) | |
III (3.2%) | |
IV (0%) |
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Migliorini, F.; Marsilio, E.; Cuozzo, F.; Oliva, F.; Eschweiler, J.; Hildebrand, F.; Maffulli, N. Chondral and Soft Tissue Injuries Associated to Acute Patellar Dislocation: A Systematic Review. Life 2021, 11, 1360. https://doi.org/10.3390/life11121360
Migliorini F, Marsilio E, Cuozzo F, Oliva F, Eschweiler J, Hildebrand F, Maffulli N. Chondral and Soft Tissue Injuries Associated to Acute Patellar Dislocation: A Systematic Review. Life. 2021; 11(12):1360. https://doi.org/10.3390/life11121360
Chicago/Turabian StyleMigliorini, Filippo, Emanuela Marsilio, Francesco Cuozzo, Francesco Oliva, Jörg Eschweiler, Frank Hildebrand, and Nicola Maffulli. 2021. "Chondral and Soft Tissue Injuries Associated to Acute Patellar Dislocation: A Systematic Review" Life 11, no. 12: 1360. https://doi.org/10.3390/life11121360