PDF(Pubmed)
Abstract：
OBJECTIVE: The purpose of the study was to summarize the available evidence and identify risk factors for osteochondral injuries (OCIs) after patellar dislocations.
METHODS: A systematic literature review was conducted in PubMed, Embase, Web of Science, Cochrane Library, and China national knowledge infrastructure from inception to December 22, 2022, according to the preferred reporting items for systematic reviews and meta-analyses guidelines. Studies regarding risk factors for OCIs after patellar dislocations were included. Literature search, data extraction, and quality assessment were performed independently by two authors.
RESULTS: A total of 16 studies with 1945 patients were included. The risk factors for OCIs after patellar dislocation were categorized into four main categories, including demographic characteristics, patellar depth and position, femoral trochlear morphology, and other risk factors in this study. Five and three studies supported the idea that male sex and skeletal maturation may be risk factors, respectively. Normal femoral trochlea (two studies) and complete medial patellofemoral ligament (MPFL) injuries (two studies) may be associated with the development of OCIs. Three studies show that ligamentous laxity or joint hypermobility may prevent OCIs. Patellar depth and position (eight studies) may not be associated with the development of OCIs.
CONCLUSIONS: Based on the available evidence, an increased risk of OCIs following patellar dislocation may be associated with male sex and skeletal maturation. Furthermore, normal femoral trochlea and complete MPFL injuries may increase the risk of OCIs, while factors such as ligamentous laxity or joint hypermobility may reduce the risk.
METHODS: Level IV, systematic review of Level II and IV studies.
METHODS: A systematic literature review was conducted in PubMed, Embase, Web of Science, Cochrane Library, and China national knowledge infrastructure from inception to December 22, 2022, according to the preferred reporting items for systematic reviews and meta-analyses guidelines. Studies regarding risk factors for OCIs after patellar dislocations were included. Literature search, data extraction, and quality assessment were performed independently by two authors.
RESULTS: A total of 16 studies with 1945 patients were included. The risk factors for OCIs after patellar dislocation were categorized into four main categories, including demographic characteristics, patellar depth and position, femoral trochlear morphology, and other risk factors in this study. Five and three studies supported the idea that male sex and skeletal maturation may be risk factors, respectively. Normal femoral trochlea (two studies) and complete medial patellofemoral ligament (MPFL) injuries (two studies) may be associated with the development of OCIs. Three studies show that ligamentous laxity or joint hypermobility may prevent OCIs. Patellar depth and position (eight studies) may not be associated with the development of OCIs.
CONCLUSIONS: Based on the available evidence, an increased risk of OCIs following patellar dislocation may be associated with male sex and skeletal maturation. Furthermore, normal femoral trochlea and complete MPFL injuries may increase the risk of OCIs, while factors such as ligamentous laxity or joint hypermobility may reduce the risk.
METHODS: Level IV, systematic review of Level II and IV studies.
摘要：
目的：本研究的目的是总结现有证据并确定髌骨脱位后骨软骨损伤（OCI）的危险因素。
方法：在PubMed，Embase,WebofScience,科克伦图书馆,和中国国家知识基础设施从开始到2022年12月22日，根据系统评价和荟萃分析指南的首选报告项目。包括有关髌骨脱位后OCI危险因素的研究。文献检索,数据提取,和质量评估由两名作者独立进行.
结果：共纳入了16项研究，共1945例患者。髌骨脱位后OCI的危险因素分为四大类，包括人口特征，髌骨深度和位置，股骨滑车形态学，以及本研究中的其他危险因素。五项和三项研究支持男性和骨骼成熟可能是危险因素的观点，分别。正常股骨滑车（两项研究）和完全内侧髌股韧带（MPFL）损伤（两项研究）可能与OCI的发展有关。三项研究表明，韧带松弛或关节过度活动可能会阻止OCI。髌骨深度和位置（8项研究）可能与OCI的发展无关。
结论：根据现有证据，髌骨脱位后OCI风险增加可能与男性和骨骼成熟有关.此外，正常股骨滑车和完全性MPFL损伤可能会增加OCI的风险，而韧带松弛或关节过度活动等因素可能会降低风险。
方法：四级，对二级和四级研究的系统评价。
方法：在PubMed，Embase,WebofScience,科克伦图书馆,和中国国家知识基础设施从开始到2022年12月22日，根据系统评价和荟萃分析指南的首选报告项目。包括有关髌骨脱位后OCI危险因素的研究。文献检索,数据提取,和质量评估由两名作者独立进行.
结果：共纳入了16项研究，共1945例患者。髌骨脱位后OCI的危险因素分为四大类，包括人口特征，髌骨深度和位置，股骨滑车形态学，以及本研究中的其他危险因素。五项和三项研究支持男性和骨骼成熟可能是危险因素的观点，分别。正常股骨滑车（两项研究）和完全内侧髌股韧带（MPFL）损伤（两项研究）可能与OCI的发展有关。三项研究表明，韧带松弛或关节过度活动可能会阻止OCI。髌骨深度和位置（8项研究）可能与OCI的发展无关。
结论：根据现有证据，髌骨脱位后OCI风险增加可能与男性和骨骼成熟有关.此外，正常股骨滑车和完全性MPFL损伤可能会增加OCI的风险，而韧带松弛或关节过度活动等因素可能会降低风险。
方法：四级，对二级和四级研究的系统评价。
