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Journal of Clinical Pathology 2007;60:1068-1069; doi:10.1136/jcp.2005.033373
Copyright © 2007 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

SHORT REPORT

Histological findings of avulsion tear-type medial patellofemoral ligament injury in acute patellar dislocation

Motoyasu Inoue1, Eiki Nomura2, Hitoshi Sugiura3, Shigeru Kobayashi4

1 Department of Orthopaedic Surgery, Isehara-Kyodo Hospital, Isehara, Japan
2 Department of Orthopaedic Surgery, Kawasaki Municipal Hospital, Kawasaki-ku, Kawasaki, Japan
3 Department of Pathology, Kawasaki Municipal Hospital, Kawasaki-ku, Kawasaki, Japan
4 Department of Orthopaedics and Rehabilitation Medicine, Fukui University School of Medicine, Fukui, Japan

Correspondence to:
Correspondence to:
Dr E Nomura
Department of Orthopaedic Surgery, Kawasaki Municipal Hospital, Kawasaki-ku, Kawasaki 210-0013, Japan;edk-nomura@spn1.speednet.ne.jp

Accepted 19 September 2005

The first 150 words of the full text of this article appear below.

Acute patellar dislocation is a common injury that occurs during a variety of activities and accounts for 2–3% of knee injuries.1 Since 1990, especially over the past 5 years, more attention has focused on the medial patellofemoral ligament (MPFL) of the medial retinacular components. In several biomechanical studies, the MPFL has proved to be the primary restraint to lateral translation of the patella among the medial patellar stabilisers, and many clinical findings have shown that acute patellar dislocation is associated with MPFL injuries at a high rate.2–9

In 1999, Nomura6 classified MPFL injury in acute patellar dislocation into two types, avulsion tear and substantial tear. An avulsion tear is a detachment-type injury limited to the undersurface of the MPFL at the femoral attachment. It was suspected that this injury may result from a specific structure of the MPFL at the femoral attachment.

This study was to evaluate the histological findings . . . [Full text of this article]


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