In adolescents, lateral patellar dislocations are frequently the result of a torn medial patellofemoral ligament (MPFL). The MPFL is a vital structure in the medial compartment of the knee, which functions to stabilize the patellofemoral joint and resist lateral translation of the patella. Increased risk factors for a torn MPFL include patella alta, increased tibial tubercle-trochlear groove (TTTG) distance, and increased tibial tubercle-posterior cruciate ligament (TTPCL) distance. Other high-risk groups include skeletally immature patients, obese patients, and adolescents who partake in high-risk sports. MPFL tears are commonly caused by a noncontact twisting injury or a direct blow to the medial aspect of the knee. While conservative treatment is a viable option, there has been a trend toward surgical intervention in adolescents. Several reconstruction techniques have been described in adolescents. The use of the quadriceps tendon has been preferred in adolescents because the surgical procedure puts younger patients at a lower risk of iatrogenic damage to the open growth plate. Current literature has shown that MPFL reconstruction is adolescents’ most effective treatment option.