ReviewCurrent reviews in musculoskeletal medicine2018
Patellar Instability in the Skeletally Immature.
Review in Current reviews in musculoskeletal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Conservative management following patellar dislocation: a level I systematic review.Journal of orthopaedic surgery and research · 2023Pooled it
- Biomechanical Comparison of Patellar Fixation Techniques in Medial Patellofemoral Ligament Reconstruction: A Pediatric Cadaveric Study.Orthopaedic journal of sports medicine · 2026Article
- Clinical Outcomes Following Anatomic Medial Patellofemoral Ligament Reconstruction With Concomitant Procedures in Skeletally Immature Patients With Patellar Instability.Orthopaedic journal of sports medicine · 2026Article
- Utility of Diagnostic Arthroscopy Before Medial Patellofemoral Ligament Reconstruction in Pediatric and Adolescent Patients Without Articular Findings on Magnetic Resonance Imaging.Orthopaedic journal of sports medicine · 2026Article
- Combined Reconstruction of the Medial Patellofemoral Ligament and the Medial Quadriceps Tendon-Femoral Ligament Using Rectus Femoris Tendon Autograft.Arthroscopy techniques · 2026Article
- Arthroscopic Management of Patellar Instability in Skeletally Immature Patients: Current Concepts and Future Directions.Journal of clinical medicine · 2025Review
- Increased Risk of Patellofemoral Instability Events and Surgical Management in Patients With Joint Hypermobility Syndromes: A Matched Cohort Analysis.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- MPFL Reconstruction in Skeletally Immature Patients: Comparison Between Anatomic and Non-Anatomic Femoral Fixation-Systematic Review.Children (Basel, Switzerland) · 2024Review
- Acute patellar dislocation: how skeletal maturity affects patterns of injury.Skeletal radiology · 2024Article
- The Adductor Sling Technique for Pediatric Medial Patellofemoral Ligament Reconstruction Better Resists Dislocation Loads When Compared With Adductor Transfer at Time Zero in a Cadaveric Model.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Management of patellar instability in skeletally immature patients.EFORT open reviews · 2024Review
- Patellofemoral Instability in the Pediatric Population.Current reviews in musculoskeletal medicine · 2023Review
- Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients.Arthroscopy techniques · 2022Article
- Patellar Dislocation and Fracture After Medial Patellofemoral Ligament Reconstruction in a Patient With Osteogenesis Imperfecta.Ochsner journal · 2022Article
- Narrative Review - Knee Pain in the Pediatric Athlete.Current reviews in musculoskeletal medicine · 2021Review
- Complications and Recurrence of Patellar Instability after Medial Patellofemoral Ligament Reconstruction in Children and Adolescents: A Systematic Review.Children (Basel, Switzerland) · 2021Article
- MRI following medial patellofemoral ligament reconstruction: assessment of imaging features found with post-operative pain, arthritis, and graft failure.Skeletal radiology · 2021Article
- Eponyms in Pediatric Sports Medicine: A Historical Review.Open access journal of sports medicine · 2021Review
- CORR Synthesis: Can Guided Growth for Angular Deformity Correction Be Applied to Management of Pediatric Patellofemoral Instability?Clinical orthopaedics and related research · 2020Review
- Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening in the Skeletally Immature Patient.Arthroscopy techniques · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewThis review will focus on the evaluation and management of patellar instability in the developing patient. RECENT
findingsA large number of surgical techniques have been described to prevent recurrent patellofemoral instability in the pediatric population, including both proximal and distal realignment procedures. The wide variety of treatment options highlights the lack of agreement as to the best surgical approach. However, when a comprehensive exam and workup are paired with a surgical plan to address each of the identified abnormalities, outcomes are predictably good. Patellar instability is a common knee disorder in the skeletally immature patient that presents a unique set of challenges. Rates of re-dislocation in pediatric and adolescent patients are higher than in their adult counterparts. Careful consideration of the physeal and apophyseal anatomy is essential in these patients. While the majority of primary patellar instability events can be treated conservatively, multiple events often require surgical intervention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.