Chondral Injury in Patellofemoral Instability

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Chondral Injury in Patellofemoral Instability

OBJECTIVE Patellofemoral instability is common and affects a predominantly young age group. Chondral injury occurs in up to 95%, and includes osteochondral fractures and loose bodies acutely and secondary degenerative changes in recurrent cases. Biomechanical abnormalities, such as trochlear dysplasia, patella alta, and increased tibial tuberosity-trochlear groove distance, predispose to both r...

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Does Ligamentous Laxity Protect Against Chondral Injury in Patients with Patellofemoral Instability?

This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...

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Is there an association between chronicity of patellar instability and patellofemoral cartilage lesions? An arthroscopic assessment of chondral injury.

The purpose of this study was to investigate the association between chronicity of patellar instability on the prevalence, grade, and location of chondral lesions in patients with recurrent patellar instability. Patellofemoral chondral status was documented and graded according to the Outerbridge classification in 38 patients who underwent arthroscopic examination at the time of a medial patell...

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Treatment of chondral defects in the patellofemoral joint.

Patellofemoral disease is one of the most controversial management issues in orthopedic surgery. Nonoperative management as a prerequisite first line treatment is successful in the majority of cases. However, a small subset of patients with persistent pain after adequate rehabilitation will be potential candidates for surgical intervention. Careful assessment of the underlying pathomechanics is...

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Patellofemoral disorders and instability.

Originally the main idea was to obtain a stable patella, i.e., to stabilize the "slipping patella". In the past many conditions like patella alta, ligamentous laxity, PF bone hypoplasia, weakness of the quadriceps muscle, genu valgum or genu recurvatum were thought to predispose to patellar instability. For a long period muscle exercises were instituted to strengthen the weak m.vastus medialis ...

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ژورنال

عنوان ژورنال: CARTILAGE

سال: 2014

ISSN: 1947-6035,1947-6043

DOI: 10.1177/1947603514530142