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  • acute
  • In a systematic review that included 2134 primary acute patellar dislocations (2086 patients) treated either conservatively or surgically, Longo et al found that whereas surgical treatment was associated with a significantly lower rate of recurrence and better results in the short-to-medium term, the results of the two approaches were not significantly different in the long term. (medscape.com)
  • An algorithm guiding the evaluation and treatment of acute primary patellar dislocations. (medscape.com)
  • injuries
  • This review has identified limited (Achilles) and conflicting (patellar) evidence that clinical outcomes are superior with eccentric loading compared with other loading programmes, questioning the currently entrenched clinical approach to these injuries. (springer.com)
  • Achilles
  • There is equivalent evidence for Silbernagel combined (Achilles) and greater evidence for HSR loading (patellar). (springer.com)
  • The only potential mechanism that was consistently associated with improved clinical outcomes in both Achilles and patellar tendon rehabilitation was improved neuromuscular performance (e.g. torque, work, endurance), and Silbernagel-combined (Achilles) HSR loading (patellar) had an equivalent or higher level of evidence than isolated eccentric loading. (springer.com)
  • Improved jump performance was associated with Achilles but not patellar tendon clinical outcomes. (springer.com)
  • Anatomy
  • This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918) Patellar tendon definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms Navali AM, Jafarabadi MA (2015). (wikipedia.org)
  • eccentric
  • In contrast, HSR loading in the patellar tendon was associated with reduced Doppler area and anteroposterior diameter, as well as greater evidence of collagen turnover, and this was not seen following eccentric loading. (springer.com)
  • surgical management
  • A Cochrane review by Smith et al found that although there was some evidence that appeared to favor surgical management of primary patellar dislocation, the quality of the currently available evidence was too poor to allow any firm conclusions to be made. (medscape.com)
  • reflex
  • The patellar reflex or knee-jerk (myotatic) (monosynaptic) (American spelling knee reflex) is a stretch reflex which tests the L2, L3, and L4 segments of the spinal cord. (wikipedia.org)
  • The patellar reflex is a clinical and classic example of the monosynaptic reflex arc. (wikipedia.org)