Management of the Athlete’s Knee Event Recording-Day 1, Part 5: Evidence-Based Case Presentations

Video Transcription

Video Summary

In the first set of cases discussed, patellofemoral instability and ACL tears are examined. A 14-year-old girl with bilateral patellofemoral instability is experiencing frequent patella dislocations and may benefit from NPFL plus treatment. In the second case, a 21-year-old woman has a chondral flap in the lateral facet of the patella and options for treatment include osteochondral plugs or resurfacing. A 12-year-old boy who had a patellar dislocation may require NPFL reconstruction and lateral lengthening after an unsuccessful NPFL avulsion repair. Furthermore, a 52-year-old man with medial knee pain and instability following a fall during mountain climbing has treatment options that include injections, PT, bracing, or surgical interventions such as ACL reconstruction.<br /><br />In the second video, a professional basketball player sustains an injury during practice and is believed to have a torn ACL along with bucket-handle tears in the lateral and medial meniscus. The surgeon discusses the choice between repairing the ACL and meniscus simultaneously, staging the surgeries, or repairing the meniscus first and delaying the ACL reconstruction. Ultimately, it is decided to repair the menisci first due to concerns about synovitis and the risk of arthrofibrosis. The patient is later referred to another surgeon for the ACL reconstruction. The video concludes with a discussion on the challenges of treating high-level athletes and the importance of balancing healing time with the desire to return to sport promptly.

Keywords

patellofemoral instability

ACL tears

bilateral patellofemoral instability

NPFL plus treatment

chondral flap

osteochondral plugs

patellar dislocation

NPFL reconstruction

medial knee pain

instability

mountain climbing

professional basketball player

torn ACL