[Patellar dislocation in children and adolescents : Current developments in diagnostics and treatment].

BACKGROUND

The latest results concerning patellar instability in children and adolescents lead to a better understanding of the underlying pathology.

OBJECTIVES

Determination of necessary diagnostic procedures and treatment of patellar instability in children and adolescents.

MATERIAL AND

METHODS

Analysis of available literature based on a systematic MEDLINE analysis.

RESULTS

Diagnostics, risk factors und treatment of adult patellar instability are applicable in the treatment of children. A trend towards early surgical stabilization after primary dislocation was identified. Growth plate-preserving methods for autologous MPFL reconstruction can safely be used in children.

CONCLUSIONS

For children with a high risk of redislocation, primary surgical intervention should be performed. The necessary method must be determined by individual risk factor analysis.