Learn like you were there! 
Take a virtual seat at a self-learning, online course! These programs bring more topics related to your specialty area for a standard set of 4 CME credits each. This AAOS CODOrthoXpress brings you video recordings of expert faculty discussing: Patellar Instability in Children and Adults: A Comprehensive Approach

Course Directors: Abigail Campbell, MD, FAAOS

Course Faculty: Elise Bixby, MD, Elizabeth Dennis, MD, Mauricio Drummond, MD, Daniel Green, MD, Alex Golant, MD, Laith Jazrawi, MD, James Lee Pace, MD, Lauren Redler, MD, Nicole Rynecki, MD, Seth Sherman, MD. 

Course Description:

Patellar instability remains a complex and evolving area of orthopaedic practice, requiring a comprehensive understanding of patient-specific anatomy, risk factors, imaging evaluation, and surgical decision-making. This course will explore the management of patellar instability across the pediatric and adult populations, from developmental considerations and congenital abnormalities to advanced reconstruction and realignment techniques. Faculty will discuss current concepts in diagnosis, indications for surgery, and contemporary treatment strategies, including medial soft tissue reconstruction, tibial tubercle osteotomy, trochleoplasty, and management of complex instability patterns. Through expert presentations, technical videos, and case-based discussion, participants will gain practical insights to optimize evaluation and treatment of patients with patellofemoral instability.

Learning Objectives:
At the conclusion of this course, learners should be able to:

1.    Recognize key anatomic, developmental, and patient-specific factors that contribute to patellar instability and apply appropriate evaluation strategies, including advanced imaging considerations. 
2.    Develop evidence-based treatment strategies for pediatric and adult patients with patellar instability, including indications for nonoperative management, soft tissue reconstruction, and bony realignment procedures. 
3.    Apply contemporary surgical techniques and decision-making principles for complex patellar instability cases, including management of trochlear dysplasia, malalignment, and revision scenarios.

Program Lectures:

Patellar instability - Pediatric 
1.    (20 min) Dr. Elise Bixby - Development of the PF joint & pediatric disorders   
2.    (20 min) Dr. Lauren Redler - physeal-sparing medial ligament recon, role of guided growth 
3.    (20 min) Dr. Dan Green - congenital complex instability (quad lengthening technique etc) 
Patellar instability Part 1 – Adult 
1.    (15 min) Dr. Nicole Rynecki - when to operate and what metrics we rely on to decide 
2.    (10 min) Dr. Abigail Campbell - troch dysplasia classification system update  
3.    (10 min) Dr. Laith Jazrawi - MPFL vs MQTFL vs MPC recon/ repair.  
4.    (15 min) Dr. Elizabeth Dennis - Role of TT osteotomy + technique  
Patellar instability Part 2 – Adult 
5.    (10 min) Dr. Seth Sherman - TTO wedge technique, why this is better than shingle 
6.    (15 min) Dr. J. Lee Pace - Role of trochleoplasty, technique, outcomes 
7.    (15 min) Dr. Mauricio Drummond - MRI evaluation of trochlea 
8.    (15 min) Dr. Alex Golant - femoral rotation and coronal alignment for complex PF instability  
 

AAOS designates this activity for 4 AMA PRA Category 1 CME Credits™.