Grade 3 (T1rho+) Chondromalacia Patella (CMP) Can be Persistently Asymptomatic if Joint Homeostasis is Achieved and Maintained: Clinical Implications

Patella alta and chondromalacia.

The Insall-Salvati method of determining the position of the patella by radiography was employed in fifty-one patients with chondromalacia patellae that had been proved at arthrotomy. There was no definite relationship between chondromalacia patellae and patella alta. There was, however, a highly significant statistical difference between the ratio of the length of the patella to that of the pa...

Proteoglycan depletion and size reduction in lesions of early grade chondromalacia of the patella.

OBJECTIVE To determine the content and molecular size of proteoglycans (PGs) in patellar chondromalacia (CM) and control cartilages as a first step in investigating the role of matrix alterations in the pathogenesis of this disease. METHODS Chondromalacia tissue from 10 patients was removed with a surgical knife. Using identical techniques, apparently healthy cartilage of the same site was ob...

Can Trendelenburg's sign be positive if the hip is normal?

In 1895 Trendelenburg described his sign to determine the integrity of hip function. We found the sign to be positive in a patient whose hip was clinically and radiologically normal, and therefore investigated this in other patients. We confirmed that a medial shift of the mechanical axis of the leg below the hip may cause a positive Trendelenburg sign. This has not been previously described.

Primary care oncology: essential if high quality cancer care is to be achieved for all.

“Not Everything That Is Faced Can Be Changed, but Nothing Can Be Changed Until It Is Faced”: A Response to Recent Commentaries