Join world-renowned knee specialist David Dejour in this PCO 2026 Live Clinics session on managing recurrent patellofemoral instability. Follow a step-by-step master class covering patient interview, targeted physical examination, advanced imaging analysis, and tailored surgical planning on this 21-year-old patient, with recurrent instability for more than 10 years, leading to an important apprehension.
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Systematic physical exam & clinical diagnosis
Learn gentle clinical maneuvers to evaluate patellar apprehension, tracking abnormalities, and signs of patella alta without distressing the patient. Differentiate objective instability from pain-related apprehension using dynamic tilt and quadrant testing during active knee motion.
Advanced Imaging Protocol & Surgical Strategy
Master multiplanar MRI protocols for precise anatomical assessment and tailored decision-making:
- Trochlear dysplasia and bump quantification: Analyze X-Ray to identify high-grade dysplasia (Type D), looking for bony alvusion, crossing sign and double contour, and measuring trochlear bump height.
- Patellar height and TTTG thresholds: Evaluate functional patella alta and assess TT-TG distance thresholds.
- Surgical planning: Formulate personalized surgical strategies incorporating MPFL reconstruction, tibial tuberosity osteotomy (TTO), and lateral release/lengthening.
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