Arthroscopy of the Patellofemoral Joint

Pidoriano, Arthur J.; Fulkerson, John P.

doi:10.1016/s0278-5919(05)70005-3

Cited by 24 publications

(18 citation statements)

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“…The resolution of pain by realignment surgery, as we have seen in our series [53], does not necessarily mean that PFM caused theses symptoms. Our findings provide support for the clinical observation that lateral retinaculae play an important role in anterior knee pain syndrome.…”

Section: Clinical Relevancementioning

confidence: 47%

“…In this way we evaluated retrospectively 40 Insall's proximal realignments (IPR) performed on 29 patients with an average follow-up after surgery of 8 years (range: 5-13 years). In our experience IPR provides a satisfactory centralization of the patella into the femoral trochlea in the short-term follow-up, that it is associated with resolution of patellofemoral pain [53]. In our experience IPR provides a satisfactory centralization of the patella into the femoral trochlea in the short-term follow-up, that it is associated with resolution of patellofemoral pain [53].…”

Section: Critical Analysis Of Realignment Surgery What Have We Learnmentioning

confidence: 59%

“…It is of high socioeconomic relevance as it occurs most frequently in young and active patients. The present review synthesizes our research on pathophysiology [53][54][55][56][57][58][59][60][61][62] of anterior knee pain in the young patient. However, in spite of its high incidence and abundance of clinical and basic science research, its pathogenesis is still an enigma ("The Black Hole of Orthopaedics").…”

Section: Introductionmentioning

confidence: 94%

“…According to Fulkerson [16], in patients with PFM there is an adaptative shortening of the lateral retinaculum as a consequence of the lateral displacement of the patella. With knee flexion, the patella migrates medially into the femoral trochlea [53], which produces a recurrent stretching on the shortened lateral retinaculum that may cause nerve changes such as neuromas and neural myxoid degeneration [16,17]. Moreover, in some cases we have also performed histological studies of the medial retinaculum (13 specimens).…”

Section: Neuroanatomical Bases For Anterior Knee Pain In the Young Pamentioning

confidence: 99%

“…Weber [66] found a frequent combination of femoral anteversion with condromalaciae and patellar instability. Takai [53] has documented that patients with increased femoral anteversion have an increased incidence of osteoarthritis. Eckhoff has suggested correction of excessive femoral anteversion in young patients to prevent these phenomena.…”

Section: Fig 24mentioning

confidence: 99%

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Patellofemoral Pain, Instability, and Arthritis

Zaffagnini

Arendt

Dejour³

et al. 2010

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The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/BerlinA new look at the patellofemoral joint and a new book by ESSKA members! The patellofemoral joint (p-f joint) has been called "the spine for the sports medicine physician" presumably due to the difficulty in finding the etiology of pain from the p-f joint. Every third youth suffers from anterior knee pain showing the scope of the clinical problem. The rationale for treatment is to correct unbalanced tracking of the patella. The most commonly recommended treatment is strengthening of the quadriceps along with avoidance of painful activities. Recently, the focus in orthopedic sports medicine has been on patella instability as the cause of the pain and many new procedures have been published over the last few years. With the arrival of new, young sports physicians and surgeons and not the least physiotherapists with profound interest in the field, old dogmas are being torn apart and new algorithms are being proposed.This book was initiated by Stefano Zaffagnini and David Dejour with major input from Elizabeth Arendt and originates from an ESSKA supported meeting in May 09 where the authors reviewed current concepts in this important field. Chapters were assigned and more than 35 authors have contributed significantly to this book which covers the p-f joint from the young child to the old athlete. The book will be handed out to all the participants at the biannual ESSKA meeting in Oslo (June 2010) and should thus set the standard for standard terminology, evidenced based analysis, examination, and treatment of problems in the p-f joint. We, as ESSKA leadership, are extremely grateful to the initiators as well as to the authors who with this book will heighten the standards for p-f analysis and treatment. Forewordvii ESSKA has given the arthroscopy committee a fantastic opportunity: to compile an international reflection on patellofemoral (PF) disorders.In creating this book we invited orthopedic surgeons, physiotherapists, and researchers from Europe and the USA to provide their personal point of view on various topics of interest and concern related to patellofemoral disorders. This was followed by group discussions and debate at a consensus meeting where all authors discussed each chapter of this book. This work is a collection of information and differing points of view resulting in what we hope is a homogenous product to the reader. Its goal was to construct a global overview of the pathology and treatment options for patellofemoral disorders for the young child to the old at...

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Section: Clinical Relevancementioning

confidence: 47%

Section: Critical Analysis Of Realignment Surgery What Have We Learnmentioning

confidence: 59%