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📌 Three Types of Medial Patellofemoral Ligament (MPFL) Avulsion Injuries at the Patella
- Generally, MPFL ruptures at the midsubstance or near the patellar attachment are treated non-surgically.
- However, significant patellar MPFL avulsion fractures and femoral attachment MPFL disruptions may pose greater risks.
- Skeletal immaturity can influence the injury pattern, with isolated patellar-based MPFL/chondral injuries being more common in skeletally immature patients.
1️⃣ Type P0:
Ligamentous disruption at the patellar attachment (partial tear of femoral MPFL).
2️⃣ Type P1:
Bony avulsion fracture from the medial margin of the patella (small avulsion fracture of femoral MPFL), may involve a tear of the transverse component (tMPFL).
3️⃣Type P2:
Bony avulsion involving articular cartilage from the medial facet of the patella.
References:
- Knee Surg Sports Traumatol Arthrosc (2014) 22:2414–2418
- Knee Surg Sports Traumatol Arthrosc. 2018 Mar;26(3):677-684
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#MPFL, #PatellarAvulsionInjury, #KneeInjury, #PatelloFemoralJoint, #OrthopedicSurgery, #MRI, #SkeletalImmaturity, #LigamentousInjury, #AvulsionFracture, #ArticularCartilageInjury.
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(Fig 4-A.33) Type P1: Bony Avulsion Fracture from Medial Patella (0) | 2024.06.05 |
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(Fig 4-A.32) Type P0/ Ligament Disruption at Patellar Attachment (0) | 2024.06.05 |
(Fig 4-A.30) Complete MPFL Tear at Femoral Origin (0) | 2024.06.05 |
(Fig 4-A.29) Partial MPFL Tear at Multiple Sites (0) | 2024.06.05 |
(Fig 4-A.28) Displaced Osteochondral Fragments (0) | 2024.06.04 |