Plaster, splint, brace, tape or functional mobilization after first-time patellar dislocation: what’s the evidence?

[摘要] With an incidence of 5.8 per 100000 per year, patellar dislocations are commonly seen in the emergency department.1 Over the past two decades, several studies and reviews have been published on the subject of whether these firsttime dislocations should be treated surgically or non-surgically.2 Surprisingly, there are only a few studies available that focus on the results of non-surgical treatment after first-time patellar dislocation.3 Comparison of the results of our surgical endeavours for the treatment of first-time patellar dislocation with a non-surgical treatment is difficult beforehand, as there is no evidence available on the optimal non-surgical treatment to address this pathology. The aim of this review is to provide an overview of the most recent and relevant studies on the rationales and results of the non-surgical treatment for first-time patellar dislocation. In 2012, van Gemert et al concluded in their systematic review that only one relevant study comparing conservative treatment with a cylinder cast, brace and posterior splint was available.

[学科分类] 神经科学

[关键词] patella;patellar dislocation;patellar instability