The objective of this study was to examine the effects of patellar resurfacing on patellofemoral joint contact pressure and contact area in total knee arthroplasty. We tested seven fresh-frozen cadaveric knees using a custom knee jig which permits the simulation of physiologic quadriceps loading. Before patellar resurfacing, the mean peak contact pressure of medial and lateral patellofemoral jo...

We reviewed the records of 107 consecutive patients who had undergone surgery for disruption of the knee extensor mechanism to test whether an association existed between rupture of the quadriceps tendon and the presence of a patellar spur. The available standard pre-operative lateral radiographs were examined to see if a patellar spur was an indicator for rupture of the quadriceps tendon in th...

BACKGROUND Chondromalacia, lateral patellar compression syndrome and osteoarthritis are common patellofemoral joint disorders leading to functional and/or structural disturbances in articular surfaces. The objective of the study was to evaluate their impact on joint motion quality via the vibroacoustic signal generated during joint movement analysis. METHODS Seventy-three patients (30 with ch...

Patellofemoral disorders represent 20–40% of all knee problems and can be one of the most common complaints in sports related injuries. These disorders are a major cause of disability, particularly in females, and in extreme cases may contribute to termination of athlete’s career and could lead to degenerative arthritic changes of the knee joint. For these reasons, disorders and in particular p...

background: abnormal patellar height is associated with anterior knee pain and several conditions that affect the patellofemoral joint. the aim of this study was to 1) report the incidence of patella alta and patella baja and 2) investigate whether the normal limits of the insall-salvati ratio is applicable in adult middle-easterners. methods: a radiographic review of the lateral radiographs of...

lateral and anterior displacements of mandible may cause malocclusion. the aim of this study was to determine the prevalence of these displacements in a population of 597 childrens age 12 in mashhad secondary schools. displacment of mandible was shown to be in 11.8 percent of the population (6.2 percent anterior and 5.6 percent lateral displacement).anterior displacement of mandible was diagnos...

BACKGROUND The ovine stifle joint is an important location for investigations on the repair of articular cartilage defects in preclinical large animals. The classical medial parapatellar approach to the femoral trochlea is hazardous because of the high risk of postoperative patellar luxation. Here, we describe a low morbidity surgical exposure of the ovine trochlea without the necessity for int...

BACKGROUND A lateralized tibial tubercle may be a relevant anatomic factor in patients with patellar instability and can be used as an indication for a distal realignment procedure. However, parameter values for the tibial tuberosity-trochlear groove (TT-TG) distance in the young patient have not been defined. It also remains to be determined how this parameter contributes to patellar instabili...

OBJECTIVE Patellar taping is frequently used to treat patellofemoral pain (PFP). This systematic review and meta-analysis (1) evaluates the efficacy of patellar taping for patients with PFP, (2) compares the efficacy of various taping techniques and (3) identifies potential biomechanical mechanisms of action. METHODS The MEDLINE, CINAHL, SPORTSDiscus, Web of Science and Google Scholar databas...

This article reviews the clinical entity of medial patellar subluxation, including relevant anatomic and biomechanical factors. Most cases of medial patellar subluxation occur as a late complication of lateral retinacuiar release. Symptoms include pain, disability, crepitus, and intermittent swelling. Clinical signs include subluxation of the patella with manual medial glide, an observable defe...