IC 102-2022: Patellofemoral Instability From Simple to Complex: How to Get it Right-Patellofemoral Instability From Simple to Complex: How to Get it Right (2/6)

Patellofemoral Instability From Simple to Complex: How to Get it Right (2/6)

Video Transcription

Video Summary

In this video, a 10-year-old female patient is presented with two instances of knee instability over a three-month period. The first event was traumatic, and she underwent rehabilitation and wore a brace. The second event occurred while she was trick-or-treating. The patient is otherwise healthy and wants to be casually active. The physical examination reveals a neutral alignment, intact cruciates and collaterals, an effusion, limited range of motion, and patella apprehension. The doctor performs a Craigs test, a routine part of the physical examination for instability, and explains the procedure by demonstrating it on a video. The test reveals a positive result, indicating femoral anteversion. The doctor explains that he will order a CT scan to quantify the anteversion. The video continues with a discussion of imaging findings, treatment options, and surgical techniques for correcting the patient's condition, which includes a distal derotational femoral osteotomy, medial patellofemoral ligament (MPFL) reconstruction, and lateral retinacular lengthening. The discussions touch on the importance of correcting anatomic risk factors and the use of MPFL reconstruction as an insurance policy. The video ends with the mention of another case to be discussed.

Asset Caption

James Pace, MD

Keywords

10-year-old

knee instability

traumatic event

physical examination

femoral anteversion