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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Sports Medicine
intermediate
X-Type

Medial Patellofemoral Ligament Reconstruction

Patellofemoral Disorders

A 17-year-old female basketball player has had three episodes of lateral patellar dislocation. MRI shows a torn MPFL with scarring at its femoral attachment and lateral patellar tilt. CT measurement shows a TT-TG distance of 18mm and trochlear dysplasia (Dejour Type B). She has failed conservative management and experiences significant apprehension with lateral patellar displacement. Regarding medial patellofemoral ligament (MPFL) reconstruction:

Mark each as TRUE or FALSE

A

The MPFL is the primary soft tissue restraint to lateral patellar translation from 0-30 degrees of k...

B

Risk factors for patellar instability include trochlear dysplasia (most important), patella alta, in...

C

The MPFL provides restraint mainly in deep flexion; it inserts on the lateral patella; MPFL tears ty...

D

The Schottle point marks the anatomic femoral MPFL attachment site identified radiographically: 1mm ...

E

MPFL reconstruction alone may not be sufficient if significant bony abnormalities exist; tibial tube...

Answer the questions to see explanations

Click T (True) or F (False) for each option