Thursday 14 April 2011

recurrant dislocation of patella.



16 year old girl with 3 episodes of patellar dislocation.


Apprehension test positive for lateral patellar subluxation


No clinical torsional abnormality.


normal xrays


MRI- show laterally subluxed patella mild trochlear hypoplasia. No chondral damage


CT Scan- 14 degree anteversion


TT_TG distnce 23 mm


Plan- MPFL reconstruction with tibial tubercle transfer(fulkerson)

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