title: Injury patterns of medial patellofemoral ligament after acute lateral patellar dislocation in children: Correlation analysis with anatomical variants and articular cartilage lesion of the patella.
abstract: OBJECTIVE
  To assess the relationship between injury patterns of medial patellofemoral ligament (MPFL) and anatomical variants and patellar cartilage lesions after acute lateral patellar dislocation (LPD) in children.
  
  
  METHODS
  MR images were obtained in 140 children with acute LPD. Images were acquired and evaluated using standardised protocols.
  
  
  RESULTS
  Fifty-eight cases of partial MPFL tear and 75 cases of complete MPFL tear were identified. Injuries occurred at an isolated patellar insertion (PAT) in 52 cases, an isolated femoral attachment (FEM) in 42 cases and an isolated mid-substance (MID) in five cases. More than one site of injury was identified in 34 cases. Compared with Wiberg patellar type C, Wiberg patellar type B predisposed to complete MPFL tear (P = 0.042). No correlations were identified between injury patterns of MPFL and trochlear dysplasia, patellar height and tibial tuberosity-trochlear groove distance (P > 0.05). Compared with partial MPFL tear, complete MPFL tear predisposed to Grade-IV and Grade-V patellar chondral lesion (P = 0.02). There were no correlations between incidence of patellar cartilage lesion and injury locational-subgroups of MPFL (P = 0.543).
  
  
  CONCLUSIONS
  MPFL is most easily injured at the PAT in children. Wiberg patellar type B predisposes to complete MPFL tear. Complete MPFL tear predisposes to a higher grade of patellar chondral lesion.
  
  
  CONCLUSIONS
  • MPFL is most easily injured at its patellar insertion in children. • Wiberg patellar type B predisposes to complete MPFL tear. • No correlations between injury patterns of MPFL and other three anatomical variants. • Complete MPFL tear predisposes to higher grade patellar chondral lesion. • No correlations between injury locations of MPFL and patellar cartilage lesion.
authors.affiliation: Department of Ultrasonography, Shandong Provincial Qianfoshan Hospital of Shandong University, 16766 Jingshi Rd, Li-Xia District, 250014, Jinan, China.
authors.forename: Guang-Ying
authors.initials: GY
authors.lastname: Zhang
authors.affiliation: Department of Radiology, Shandong Provincial Corps Hospital of Chinese People's Armed Police Force, Jinan, 250014, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Zheng
authors.affiliation: Department of Radiology, Shandong Provincial Qianfoshan Hospital of Shandong University, Jinan, 250014, China.
authors.forename: Hao
authors.initials: H
authors.lastname: Shi
authors.affiliation: Department of Radiology, Shandong Provincial Corps Hospital of Chinese People's Armed Police Force, Jinan, 250014, China.
authors.forename: Bing-Jun
authors.initials: BJ
authors.lastname: Ji
authors.affiliation: Department of Radiology, Affiliated Hospital of Binzhou Medical College, Binzhou, 256603, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Feng
authors.affiliation: Department of Ultrasonography, Shandong Provincial Qianfoshan Hospital of Shandong University, 16766 Jingshi Rd, Li-Xia District, 250014, Jinan, China. qydinghy@163.com.
authors.forename: Hong-Yu
authors.initials: HY
authors.lastname: Ding
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008023:Ligaments, Articular / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000293:injuries*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D031222:Patellar Dislocation / Q000150:complications* / Q000000981:diagnostic imaging; D057071:Patellofemoral Joint / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000293:injuries*; D012421:Rupture
keywords: Articular cartilage; Knee; Magnetic resonance imaging; Medial patellofemoral ligament; Patellar dislocation