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Patellar Instability — MPFL Reconstruction

Patellar instability often due to MPFL rupture after lateral patellar dislocation. Risk factors: trochlear dysplasia, patella alta, increased TT-TG distance. Clinical: recurrent dislocation, apprehension sign, medial tenderness. Imaging: MRI confirms MPFL injury, evaluates trochlear morphology; CT for TT-TG. Treatment: MPFL reconstruction using hamstring autograft; correct bony factors if severe.

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Patellar instability often due to MPFL rupture after lateral patellar dislocation. Risk factors: trochlear dysplasia, patella alta, increased TT-TG distance. Clinical: recurrent dislocation, apprehension sign, medial tenderness. Imaging: MRI confirms MPFL injury, evaluates trochlear morphology; CT for TT-TG. Treatment: MPFL reconstruction using hamstring autograft; correct bony factors if severe.
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