{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:50:54Z","timestamp":1773568254131,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Historically, initial management of patellofemoral instability without osteochondral fracture consists of bracing and physical therapy, but up to 50% of skeletally immature patients may develop recurrent instability. Recent studies suggest that patients with first\u2010time dislocations may benefit from surgical stabilization. Risk stratification is essential; those with ligamentous laxity, increased patellar height, and trochlear dysplasia have greater failure rates with nonoperative management. Surgery in skeletally immature patients also entails risk. We recommend conservative management to most patients with a first\u2010time patellar dislocation. Patients with high\u2010risk features are counseled candidly about their elevated risk of failure potentially requiring surgery.<\/jats:p>","DOI":"10.1016\/j.arthro.2025.03.051","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T18:32:23Z","timestamp":1743532343000},"page":"3333-3335","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Patellofemoral Stabilization for First\u2010Time Dislocation in Skeletally Immature Patients Achieves Excellent Outcomes, Yet Indications Remain Unclear"],"prefix":"10.1002","volume":"41","author":[{"given":"Joshua P.","family":"Castle","sequence":"first","affiliation":[{"name":"Henry Ford Health Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasilios","family":"Moutzouros","sequence":"additional","affiliation":[{"name":"Henry Ford Health Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,30]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00255"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e31802eb40a"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512472873"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12524"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07222-w"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120946446"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.047"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.01.021"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211050419"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241260039"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B6.BJJ-2017-1295.R1"},{"key":"e_1_2_3_13_1","unstructured":"Pediatric and adolescent patellar instability (PAPI) trial2025.https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02333825. Accessed XXX."},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967121991110"},{"key":"e_1_2_3_15_1","unstructured":"McGinleyJ.J. EllisH.B. ProppB. et al. Radiological risk factors for osteochondral fractures in patients with first\u2010time and recurrent patellar instability: Data from the JUPITER cohort.Am J Sports Med20253635465251315170."}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325002476?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325002476?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.03.051","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.03.051","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.03.051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:49:14Z","timestamp":1773564554000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.03.051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,30]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1016\/j.arthro.2025.03.051"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.03.051","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,30]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Patellofemoral Stabilization for First-Time Dislocation in Skeletally Immature Patients Achieves Excellent Outcomes, Yet Indications Remain Unclear","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.03.051","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.02.016","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}