AOSSM Specialty Day 2023 with ISAKOS - no CME-2. AOSSM-ISAKOS - Session II

Video Transcription

Video Summary

Dr. Lutu Ferro gave a talk on patella dislocation in adolescent patients and its impact on cartilage based on T1 row relaxation times. This study was supported by grants from the DOD and OREF. Patellar instability is common and increases the risk of patellofemoral osteoarthritis (OA). Adolescent patients are particularly at risk, with a 4-fold increased risk of subsequent OA after dislocation. Patients with multiple dislocations have a 4.5-fold higher risk compared to those who haven't dislocated. The study analyzed cartilage degradation following index and multiple dislocations and found that T1 row relaxation times were elevated in both groups, suggesting poor cartilage health. This early degradation could contribute to the progression of OA. The impact injury from the medial patella is the primary cause of cartilage degradation. Recurring dislocations may be less traumatic. Other factors such as pathologic anatomy and inflammatory response may also play a role in the development of OA. The long-term effects of multiple dislocations need further study. (Summary: 193 words)

Keywords

patella dislocation

adolescent patients

cartilage

T1 row relaxation times

patellofemoral osteoarthritis