Article information
Introducción
La luxación recidivante de rótula es consecuencia de la alteración de uno o más partes de los tejidos blandos que limitan el desplazamiento de la rótula, de la geometría fémoro-rotuliana, de la alineación fémoro-rotuliana y de la extremidad inferior, así como de modificaciones o alteraciones de la marcha.
Material y métodoLas anomalías anatómicas características de la persona con luxación rotuliana recidivante se identifican mediante un examen físico meticuloso y el estudio con radiografía, tomografía computarizada (TC) y/o resonancia magnética (RM).
ConclusiónUna vez se identifican los defectos anatómicos de cada paciente es posible planificar un abordaje sistematizado para el tratamiento rehabilitador o quirúrgico (realineamiento proximal y/o distal) y en el caso de tratamiento quirúrgico la selección de los diversos componentes del procedimiento.
Palabras clave:
luxación recidivante de rótula
articulación fémoro-rotuliana
rodilla
Introduction
Recurrent patellar dislocations occur as a result of the presence of one or more abnormalities of the soft-tissue restraints, patellofemoral geometry, patellofemoral alignment, lower extremity alignment, and gait.
Materials and methodsThe identification of the pathoanatomies unique to the individual with recurrent patellar dislocations is obtained from a careful physical examination as well as radiographs, and CT and/or MRI.
ConclusionsOnce these pathoanatomies have been identified for the individual patient, a systematic approach to surgical realignment and the selection of the components of the surgical procedure is possible.
Key words:
patellar recurrent dislocation
patello-femoral joint
knee
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Publicado en el capítulo 6 del número 29 de las Monograph Series de la AAOS, editado por el Dr. John P. Fulkerson. Copyright 2005.
Copyright © 2006. Sociedad Española de Cirugia Ortopédica y Traumatología (SECOT)
