Patellar Instability

Clinically oriented and richly illustrated, this book provides complete guidance on the surgical and non-surgical management of the anterior knee pain syndrome and is aimed at orthopedic surgeons, sports medicine practitioners, knee specialists and physical therapists.

Patellofemoral instability (PFI) is the movement of the kneecap from its normal position of alignment. It may be caused by sudden injury or developmental wear and tear and will often lead to arthritis. This book is a concise guide to misalignment of the kneecap, its complications and management. Beginning with an introduction to the epidemiology of patellar dislocation, anterior knee pain and patho-anatomy, the next chapter examines imaging techniques including X-Rays, CT, MRI and bone scan. The following sections provide in depth coverage of both conservative and surgical management procedures. The manual is enhanced by clinical photographs and high quality diagrams to assist understanding. Key Points Concise guide to misalignment of the kneecap, complications and treatment Provides complete chapter on imaging techniques Covers both conservative and surgical management procedures Includes clinical photographs and high quality diagrams

The problems of the patellofemoral joint remain a challenge to the orthopaedic surgeon. In spite of many articles in scientific journals, an outstanding monograph, and several excellent textbook chapters, the patella is still an enigma in many respects. The etiology of patellar pain is controversial, and there is no completely satisfying explanation for its cause or its relationship to chondromalacia. Curiously, neither the widespread use of arthroscopy nor the advent of newer diagnostic tests such as CT scanning and magnetic resonance imaging have cast much light. Without a better understanding of why patellar disorders occur it is not surprising that there is no consensus on how to fix them. Arthros copy has contributed little except to the patient's psyche. The currently most popular surgical treatment for recurrent dislocation of the patella was first described 50 years ago. One concrete advance, albeit a small one, is a better understanding of the role of anatomical abnormalities and patellofemoral dysplasia in patellar instabilities. It gives me great pleasure that many of the contributors are, like Dr.

This textbook provides an authoritative reference on one of the most problematic entities in the pathology of the knee. Throughout the text, esteemed international experts highlight their clinical insights for ensuring optimal non-surgical and surgical outcomes when treating anterior knee pain and patellar instability. The chapters are revised with the latest updates and new chapters are featured focusing upon robotic-assisted patellofemoral replacement, predictive diagnostic models in anterior knee pain patients based on artificial intelligence, brain network functional connectivity in anterior knee pain patients, and many other hot topics in the field. Anterior Knee Pain and Patellar Instability, 3rd Edition is an essential, multi-disciplinary textbook for all levels of orthopedic surgeons, physiotherapists, radiologists, biologists, pathologists, and bioengineers, who wish to learn more about this complex pathology that affects both young and older patients.

Written by experts in the field, Patellar Instability and Dislocation: Classification and Operative Techniques is a comprehensive, authoritative review of the procedures used to address this challenging condition. Includes step-by-step procedures, both in print and on video, to guide you through today's most effective approaches to stabilization and reconstruction, trochleoplasty, limb realignment osteotomy, and much more.

Among all the extensor mechanism pathologies, lateral patellar instability is of great interest not only for the knee specialist, but also for the general orthopedic surgeon and trainee. The procedure that is most frequently performed to treat lateral patellar instability is the medial patellofemoral ligament (MPFL) reconstruction. The reason for this great interest in this procedure is obvious. Medial patellofemoral ligament reconstruction is the most frequently performed procedure in the extensor mechanism. It also is the most predictable and has the best clinical results of all the procedures in the extensor mechanism. In this handbook we analyse the different reconstruction techniques, step by step, for the MPFL reconstruction, as well as other techniques less frequently used in the patient with lateral patellofemoral instability. We also analyse the treatment of medial patellofemoral instability. It is a very practical book, aimed at the general orthopedic surgeon and also the ones specialized in the knee.

In this issue of Clinics in Sports Medicine, Guest Editor David R. Diduch brings his considerable expertise to the topic of Patellofemoral Instability Decision Making and Techniques. Top experts in the field cover key topics such as Trochlear Dysplasia, MPFL Reconstruction, Patella Alta, and more. Provides in-depth, clinical reviews on Patellofemoral Instability Decision Making and Techniques, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 13 relevant, practice-oriented topics including Evaluating PF Patients - Physical Exam, Radiographic Imaging and Measurements; Coronal malalignment - When and How to Perform a Tibial Tubercle Osteotomy; Rotational Deformity - When and How to Address Femoral Anteversion; Genu Valgum Correction and Biplanar Osteotomies; and more.

Practical and user-friendly, this book is a simple and straightforward clinical guide to understanding the common problems and pathologies seen in the patellofemoral joint, clearly outlining the most prevalent problems encountered and highlighting the latest surgical techniques. Divided into two major sections on patellofemoral pain and instability, it discusses etiology, making the correct diagnosis, and how to manage these problems in both adults as well as in the skeletally immature, using outcomes-based approaches for each condition. Part I covers topics such as anterior knee pain, malalignment and overload syndromes, and arthritis, while part II describes conditions such as acute patellar dislocation, recurrent instability and how to avoid complications. Both parts also include chapters on imaging strategies for the knee. Providing the most current research on these topics in a field that is rapidly changing and evolving, and explaining the treatments and their support in the current literature, Patellofemoral Pain and Instability is an up-to-date, straightforward resource for orthopedic surgeons and residents, sports medicine specialists, and any clinical professional treating conditions of the knee.

Patellofemoral complaints are a major problem for all those working in sports medicine and orthopaedics. The correct diagnosis at an early stage is essential if subsequent treatment is to be successful and secondary complications are to be avoided. Written by an internationally known team of experts this book looks at the various diagnostic techniques currently available, cites examples of unsuccessful treatments and proposes the most appropriate ones on the proven basis of the latest research. The core of the book is the 20 case studies ranging from simple non-operative treatment to multi-operated patients with salvage procedures. The underlying theme of the book is that treatment of patellofemoral problems must, in the first instance, be somewhat conservative. Surgical interventions should be performed in a response to a clear underlying pathology and only after non-operative treatment has failed. Patellofemoral Disorders is enhanced by the inclusion of some superb specially drawn illustrations and numerous colour photographs in the case studies section.