Atualização em instabilidade patelar

Nilson Roberto Severino; Fabrício Roberto Severino; Osmar Pedro Arbix de Camargo; Luiz Gabriel Betoni Guglielmetti; Victor Marques de Oliveira; Ricardo de Paula Leite Cury

doi:10.1055/s-0040-1713389

Revista Brasileira de Ortopedia, Table of Contents

CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 147-153
DOI: 10.1055/s-0040-1713389

Artigo de Atualização

Joelho

Update on Patellar Instability

Article in several languages: português | English

Nilson Roberto Severino

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

,

Fabrício Roberto Severino

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

,

Osmar Pedro Arbix de Camargo

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

,

Luiz Gabriel Betoni Guglielmetti

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

,

Victor Marques de Oliveira

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

,

Ricardo de Paula Leite Cury

¹Grupo de Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, Santa Casa de São Paulo, São Paulo, Brasil

› Author Affiliations

Abstract

Patellar instability is a multifactorial clinical condition that affects a significant number of patients and occurs due to morphological variations of the joint and patellofemoral alignment. The present literature review study aimed to identify and summarize current concepts on patellar instability, in relation to associated risk factors, diagnostic criteria, and the benefits and risks of conservative and surgical treatments. For this purpose, a search was conducted in the following electronic databases: MEDLINE (via Pubmed), LILACS and Cochrane Library. It is concluded that the accurate diagnosis depends on the detailed clinical evaluation, including the history and possible individual risk factors, as well as imaging exams. The initial treatment of patellar instability is still controversial, and requires the combination of conservative and surgical interventions, taking into consideration both soft tissues and bone structures, the latter being the most common reason for choosing surgical treatment, especially lateral patellar instability.

Keywords

patella - patellofemoral joint - joint instability - patellar dislocation

Full Text

References

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