Despite numerous studies, a lack of consensus still exists over many aspects of patellofemoral pain, instability, and arthritis. This book adopts an evidence-based approach to assess each of these topics in depth. The book reviews general features of clinical examination and global evaluation techniques including the use of different imaging methods, e.g. x-rays, CT, MRI, stress x-rays, and bone scan. Various conservative and surgical treatment approaches for each of the three presentations – pain, instability, and arthritis – are then explained and assessed. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for the efficacy of each imaging and treatment method. It is hoped that this book will serve as an informative guide for the practitioner when confronted with disorders of the patellofemoral joint.
Author(s): Vicente Sanchis-Alfonso MD, PhD (auth.), Stefano Zaffagnini, David Dejour, Elizabeth A. Arendt (eds.)
Edition: 1
Publisher: Springer-Verlag Berlin Heidelberg
Year: 2010
Language: English
Pages: 331
Tags: Orthopedics; Imaging / Radiology
Front Matter....Pages i-xii
Pathophysiology of Anterior Knee Pain....Pages 1-16
Pathophysiology of Lateral Patellar Dislocation....Pages 17-27
Natural History of Patellofemoral Dislocations....Pages 29-34
Clinical Presentation of Patellofemoral Disorders....Pages 35-39
Clinical Examination of the Patellofemoral Patient....Pages 41-49
Standard X-Ray Examination: Patellofemoral Disorders....Pages 51-59
Patellar Height: Which Index?....Pages 61-67
Stress Radiographs in the Diagnosis of Patellofemoral Instability....Pages 69-72
Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders....Pages 73-78
MRI Analysis of Patellla Instability Factors....Pages 79-89
MRI of the Patellofemoral Articular Cartilage....Pages 91-98
Patellofemoral Pain Syndrome: The Value of Pinhole and SPECT Scintigraphic Imaging and Quantitative Measurements of Bone Mineral Equivalent Density with Quantitative Computed Tomography....Pages 99-103
Gait Analysis in Patients with Patellofemoral Disorders....Pages 105-110
Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Ipsilateral Autografts....Pages 111-122
Non-operative Treatment of Patellofemoral Pain: Role of Physical Therapy....Pages 123-137
Lateral Release of the Lateral Patellar Retinaculum: Literature Review for Select Patellofemoral Disorders....Pages 139-147
Medial Side Patellofemoral Anatomy: Surgical Implications in Patellofemoral Instability....Pages 149-152
Arthroscopic Medial Reefing in Acute Patellar Dislocation....Pages 153-158
Medial Reefing in Chronic Potential Patellar Instability....Pages 159-163
Medial Patellofemoral Ligament Reconstruction Indications and Surgical Technique....Pages 165-174
MPFL Reconstruction: The Adductor Sling Approach....Pages 175-179
Importance and Radiographic Identification of the Femoral Insertion in Medial Patellofemoral Ligament Reconstruction....Pages 181-183
MPTL (Medial Patellotibial Ligament) Reconstruction....Pages 185-192
Distal Realignment: Medialization of Tibial Tuberosity: The Elmslie-Trillat Technique....Pages 193-201
Bony Surgery Distal Realignment Surgery for Episodic Patellar Dislocations....Pages 203-208
Trochlear Lengthening Osteotomy with or Without Elevation of the Lateral Trochlear Facet....Pages 209-215
Proximal Open Trochleoplasty (Grooveplasty)....Pages 217-224
Deepening Trochleoplasty for Patellar Instability....Pages 225-232
Arthroscopic Deepening Trochleoplasty for Patella Instability....Pages 233-236
The Role of Limb Rotational Osteotomy in the Treatment of Patellofemoral Dysfunction....Pages 237-244
Long-Term Results After Autologous Chondrocyte Implantation in Cartilage Lesions of the Patellofemoral Joint....Pages 245-254
Novel Nano-composite Multilayered Biomaterial for the Treatment of Patellofemoral Cartilage Lesions....Pages 255-262
Isolated Patellofemoral Osteoarthritis: Natural History and Clinical Presentation....Pages 263-270
The Nonoperative Treatment of Patellofemoral Arthritis....Pages 271-274
Current Concepts Regarding Tibial Tubercle Osteotomy....Pages 275-277
Isolated Patellofemoral Osteoarthritis: Prosthetic Indications....Pages 279-285
Post-operative Management of Surgeries Aimed at Correcting Patellofemoral Instability: Results of an International Surgeon Survey....Pages 287-296
Errors and Complications in Patellofemoral Surgery....Pages 297-306
Trochleoplasty for Symptomatic Trochlear Dysplasia in the Skeletally Immature Patient with Review of Fetal Anatomy....Pages 307-310
Patellofemoral Disorders in the Skeletally Immature Patients....Pages 311-319
Back Matter....Pages 321-331
