Epidemiology and natural history of acute patellar dislocation

The goals of this study were to (1) define the epidemiology of acute patellar dislocation, (2) determine the risk of subsequent patellar instability episodes (subluxation and/or redislocation) during the study period, and (3) identify risk factors for subsequent instability episodes. Prospective coh...

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Published inThe American journal of sports medicine Vol. 32; no. 5; p. 1114
Main Authors Fithian, Donald C, Paxton, Elizabeth W, Stone, Mary Lou, Silva, Patricia, Davis, Daniel K, Elias, David A, White, Lawrence M
Format Journal Article
LanguageEnglish
Published United States 01.07.2004
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Abstract The goals of this study were to (1) define the epidemiology of acute patellar dislocation, (2) determine the risk of subsequent patellar instability episodes (subluxation and/or redislocation) during the study period, and (3) identify risk factors for subsequent instability episodes. Prospective cohort study. The authors prospectively followed 189 patients for a period of 2 to 5 years. Historical data, injury mechanisms, and physical and radiographic measurements were recorded to identify potential risk factors for poor outcomes. Risk was highest among females 10 to 17 years old. Patients presenting with a prior history of instability were more likely to be female (P < .05) and were older than first-time dislocation patients (P < .05). Fewer first-time dislocators (17%) had episodes of instability during follow-up than patients with a previous history of instability (49%) (P < .01). After adjusting for demographics, patients with a prior history had 7 times higher odds of subsequent instability episodes during follow-up than first time dislocators (adjusted odds ratio = 6.6, P < .001). Patellar dislocators who present with a history of patellofemoral instability are more likely to be female, are older, and have greater risk of subsequent patellar instability episodes than first-time patellar dislocators. Risk of recurrent patellar instability episodes in either knee is much higher in this group than in first-time dislocators.
AbstractList The goals of this study were to (1) define the epidemiology of acute patellar dislocation, (2) determine the risk of subsequent patellar instability episodes (subluxation and/or redislocation) during the study period, and (3) identify risk factors for subsequent instability episodes. Prospective cohort study. The authors prospectively followed 189 patients for a period of 2 to 5 years. Historical data, injury mechanisms, and physical and radiographic measurements were recorded to identify potential risk factors for poor outcomes. Risk was highest among females 10 to 17 years old. Patients presenting with a prior history of instability were more likely to be female (P < .05) and were older than first-time dislocation patients (P < .05). Fewer first-time dislocators (17%) had episodes of instability during follow-up than patients with a previous history of instability (49%) (P < .01). After adjusting for demographics, patients with a prior history had 7 times higher odds of subsequent instability episodes during follow-up than first time dislocators (adjusted odds ratio = 6.6, P < .001). Patellar dislocators who present with a history of patellofemoral instability are more likely to be female, are older, and have greater risk of subsequent patellar instability episodes than first-time patellar dislocators. Risk of recurrent patellar instability episodes in either knee is much higher in this group than in first-time dislocators.
Author Stone, Mary Lou
Fithian, Donald C
Paxton, Elizabeth W
Davis, Daniel K
Elias, David A
Silva, Patricia
White, Lawrence M
Author_xml – sequence: 1
  givenname: Donald C
  surname: Fithian
  fullname: Fithian, Donald C
  email: donald.c.fithian@kp.org
  organization: Southern California Permanente Medical Group, San Diego, USA. donald.c.fithian@kp.org
– sequence: 2
  givenname: Elizabeth W
  surname: Paxton
  fullname: Paxton, Elizabeth W
– sequence: 3
  givenname: Mary Lou
  surname: Stone
  fullname: Stone, Mary Lou
– sequence: 4
  givenname: Patricia
  surname: Silva
  fullname: Silva, Patricia
– sequence: 5
  givenname: Daniel K
  surname: Davis
  fullname: Davis, Daniel K
– sequence: 6
  givenname: David A
  surname: Elias
  fullname: Elias, David A
– sequence: 7
  givenname: Lawrence M
  surname: White
  fullname: White, Lawrence M
BackLink https://www.ncbi.nlm.nih.gov/pubmed/15262631$$D View this record in MEDLINE/PubMed
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Copyright Copyright 2004 American Orthopaedic Society for Sports Medicine
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Snippet The goals of this study were to (1) define the epidemiology of acute patellar dislocation, (2) determine the risk of subsequent patellar instability episodes...
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SubjectTerms Acute Disease
Adolescent
Adult
Age Distribution
Age Factors
Aged
Athletic Injuries - complications
Child
Female
Follow-Up Studies
Hip Dislocation, Congenital - complications
Humans
Joint Instability - complications
Joint Instability - physiopathology
Knee Joint - pathology
Knee Joint - physiopathology
Male
Middle Aged
Patellar Dislocation - epidemiology
Patellar Dislocation - etiology
Patellar Dislocation - physiopathology
Prospective Studies
Recurrence
Risk Factors
Sex Distribution
Sex Factors
United States - epidemiology
Title Epidemiology and natural history of acute patellar dislocation
URI https://www.ncbi.nlm.nih.gov/pubmed/15262631
Volume 32
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