Description
In this presentation, Seth Sherman discusses the evolving management strategies for patella dislocation, highlighting the controversies and emerging insights in the field. He expresses gratitude towards Iain Murray and his team and looks forward to future collaborations. Sherman emphasizes the importance of understanding individual patient risk factors, including bony architecture and previous dislocation history, in order to improve treatment outcomes. He outlines his approach to managing first-time patella dislocations—prioritizing early brace protection, range of motion, and careful assessment of associated injuries, such as those to the anterior cruciate ligament (ACL). The talk also critiques traditional non-operative treatment paradigms, which may not always lead to satisfactory outcomes, as studies indicate a high recurrence rate of dislocations. Sherman advocates for risk stratification and individualized treatment, particularly for patients at high risk of recurrent dislocation. He further discusses various surgical options, stressing the role of medial patellofemoral ligament (MPFL) reconstruction, especially when underlying anatomical abnormalities are present. Overall, Sherman calls for a more nuanced understanding of patella dislocation management to enhance patient care and outcomes.