Incidence of primary patellar dislocation in Colombia
DOI:
https://doi.org/10.1016/j.rccot.2022.09.001Keywords:
patellofemoral Joint, patellar dislocation, incidenceAbstract
Introduction and objectives: Primary acute patellar dislocations (PAPD) account for 3% of all traumatic knee lesions, and several studies have estimated the general incidence of patellar dislocation to be between 2 and 77.4 per 100,000 person-years. Few studies have evaluated the incidence of primary lateral patellar dislocation in Latin America. The aim of the study was to evaluate the incidence of patellar dislocation in patients from a reference center in the Colombian southwest, report trends in the incidence of dislocation, and describe the rate of surgical treatment.
Materials and methods: We performed an observational, analytical, cross-sectional study including all patients older than 9 years old with primary lateral patellar dislocation (PLPD), between January 2011 and June 2018, in a tertiary care center in Latin America.
Results: In our population, the incidence of primary lateral patellar dislocation (PLPD) was 32.38 per 100,000 person-years. The age group between 14 and 18 years old had the highest incidence (187.74 per 100.000). In the 10 to 13-year-old group, females had a significantly higher incidence (179.05 vs 59.85 /100,000, p-value < 0.001).
Conclusions: With an incidence of 32.38 per 100,000 person- years, primary patellar dislocation is a frequent orthopaedic injury in our population. The peak incidence by age group was in adolescents between 14 to 18 years old.
Downloads
References
Oestern S, Varoga D, Lippross S, Kaschwich M, Finn J, Buddrus B, et al. Patellaluxation. Unfallchirurg. 2011 Apr 3;114:345-59. https://doi.org/10.1007/s00113-011-2012-z
Johnson DS, Turner PG. Management of the first-time lateral patellar dislocation. Knee. 2019 Dec 1;26:1161-5. https://doi.org/10.1016/j.knee.2019.10.015
Hsiao M, Owens BD, Burks R, Sturdivant RX, Cameron KL. Incidence of acute traumatic patellar dislocation among activeduty United States military service members. Am J Sports Med. 2010 Oct;38:1997-2004. https://doi.org/10.1177/0363546510371423
Stefancin JJ, Parker RD. First-time traumatic patellar dislocation: a systematic review. Clin Orthop Relat Res. 2007;455:93-101. https://doi.org/10.1097/BLO.0b013e31802eb40a
Longo UG, Loppini M, Berton A, Marinozzi A, Maffulli N, Denaro V. The FIFA 11 program is effective in preventing injuries in elite male basketball players: a cluster randomized controlled trial. Am J Sports Med. 2012 May;40:996-1005. https://doi.org/10.1177/0363546512438761
Atkin DM, Fithian DC, Marangi KS, Stone M, Lou, Dobson BE, Mendelsohn C. Characteristics of patients with primary acute lateral patellar dislocation and their recovery within the first 6 months of injury. Am J Sports Med. 2000;28:472-9. https://doi.org/10.1177/03635465000280040601
Fithian DC, Paxton EW, Stone M, Lou, Silva P, Davis DK, Elias DA, et al. Epidemiology and Natural History of Acute Patellar Dislocation. Am J Sports Med. 2004 Jul 30;32:1114-21. https://doi.org/10.1177/0363546503260788
Sanders TL, Pareek A, Hewett TE, Stuart MJ, Dahm DL, Krych Year Population-Based Study. Sport Heal A Multidiscip Approach. 2018 Mar 10;10:146-51. https://doi.org/10.1177/1941738117725055
Khormaee S, Kramer DE, Yen YM, Heyworth BE. Evaluation and management of patellar instability in pediatric and adolescent athletes. Sports Health. 2015 Mar 27;7:115-23. https://doi.org/10.1177/1941738114543073
Palmu S, Kallio PE, Donell ST, Helenius I, Nietosvaara Y. Acute patellar dislocation in children and adolescents: a randomized clinical trial. J Bone Joint Surg Am. 2008;90:463-70. https://doi.org/10.2106/JBJS.G.00072
Schneider DK, Grawe B, Magnussen RA, Ceasar A, Parikh SN,Wall EJ, et al. Outcomes after Isolated Medial Patellofemoral Ligament Reconstruction for the Treatment of Recurrent Lateral Patellar Dislocations. Vol. 44 American Journal of Sports Medicine. SAGE Publications Inc.;. 2016:2993-3005. https://doi.org/10.1177/0363546515624673
Waterman BR, Belmont PJ, Owens BD. Patellar dislocation in the United States: role of sex, age, race, and athletic participation. J Knee Surg. 2012;25:51-8. https://doi.org/10.1055/s-0031-1286199
Gravesen KS, Kallemose T, Blønd L, Troelsen A, Barfod KW. High incidence of acute and recurrent patellar dislocations: a retrospective nationwide epidemiological study involving 24.154 primary dislocations. Knee Surg Sports Traumatol Arthrosc. 2018 Apr 1;26:1204-9. https://doi.org/10.1007/s00167-017-4594-7
Sillanpää P, Mattila VM, Iivonen T, Visuri T, Pihlajamäki H. Incidence and risk factors of acute traumatic primary patellar dislocation. Med Sci Sports Exerc. 2008 Apr;40:606-11. https://doi.org/10.1249/MSS.0b013e318160740f
Mitchell J, Magnussen RA, Collins CL, Currie DW, Best TM, Comstock RD, et al. Epidemiology of Patellofemoral Instability Injuries Among High School Athletes in the United States. Am J Sports Med. 2015 Jul 3;43:1676-82. https://doi.org/10.1177/0363546515577786
Beasley LS, Vidal AF. Traumatic patellar dislocation in children and adolescents: treatment update and literature review. Curr Opin Pediatr. 2004 Feb;16:29-36. https://doi.org/10.1097/00008480-200402000-00007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista Colombiana de ortopedia y traumatología
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
