Evidence map›Paper›PMID 34947891›Full record

ReviewLife (Basel, Switzerland)2021

Chondral and Soft Tissue Injuries Associated to Acute Patellar Dislocation: A Systematic Review.

Filippo Migliorini, Emanuela Marsilio, Francesco Cuozzo, Francesco Oliva, Jörg Eschweiler, Frank Hildebrand, Nicola Maffulli

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Medial quadriceps tendon-femoral ligament reconstruction for recurrent patellofemoral instability: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Pooled it
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  3. Trial
  4. Risk Factor Evaluation for Loose Body Following First-Time Patellar Dislocation in Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2026
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  15. Patellar instability: current approach.EFORT open reviews · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Filippo MiglioriniDepartment of Orthopedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, 52064 Aachen, Germany.ORCID 0000-0001-7220-1221
Emanuela MarsilioDepartment of Orthopaedics, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi, Italy.
Francesco CuozzoDepartment of Orthopaedics, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi, Italy.
Francesco OlivaDepartment of Orthopaedics, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi, Italy.
Jörg EschweilerDepartment of Orthopedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, 52064 Aachen, Germany.
Frank HildebrandDepartment of Orthopedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, 52064 Aachen, Germany.
Nicola MaffulliDepartment of Orthopaedics, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi, Italy.ORCID 0000-0002-5327-3702
University of Salerno · ITRWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChondral and soft tissue injuries can be associated with first time patellar dislocation, but it is unclear how common they are, and which tissues are affected. A systematic review of the literature was performed to investigate the frequency, location, and extent of chondral and medial patellofemoral ligament (MPFL) injuries in patients following first time patellar dislocation.

methodsThis systematic review was conducted according to the PRISMA guidelines. PubMed, Google Scholar, Embase, and Web of Science databases were accessed in November 2021. All the published clinical studies reporting the frequency, location, and extent of soft tissue lesions following first time patellar dislocation were accessed. Studies reporting data on habitual, congenital, or recurrent patellofemoral instability were excluded.

resultsData from 42 articles (2254 patients, mean age 21.6 ± 7.3 years) were retrieved. Ninety-eight percent of patients who experienced first time patellar dislocation demonstrated MPFL rupture at MRI. Forty-eight percent of MPFL ruptures were located at the patellar side, 34% at the femoral insertion site, and 18% in the midportion. Eighty-five percent of patients showed signs of patellar chondral damage at MRI, and trochlear chondral injuries were evidenced in 47% of patients. Intra-articular loose bodies were observed in 11.5% of patients. At arthroscopy, the medial facet and the crest of the patella more commonly exhibited chondral lesions than the lateral facet and femoral trochlea.

conclusionsMost patients suffer chondral damage and MPFL tears following after a first time patellar dislocation.

Indexed as

chondral lesionfirst time patellar dislocationMPFL rupturesoft tissue

Identifiers

PMID34947891
PMCPMC8706453
OpenAlexW4200111442

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.