INTRODUCTION TO PATELLAR FRACTURES ASSESSMENT OF PATELLAR FRACTURES Patellar Fracture Injury Mechanisms Injuries Associated with Patellar Fractures Signs and Symptoms Imaging and Other Diagnostic Studies Classification Outcome Measures PATHOANATOMY AND APPLIED ANATOMY RELATING TO PATELLA FRACTURES Osseous Anatomy Arterial Blood Supply Soft Tissue Anatomy BIOMECHANICS OF THE EXTENSOR MECHANISM P...

Chronic lateral dislocation of the patella is a rare condition and acquired causes are usually secondary to knee trauma. The neglected chronic dislocation leads to progressive genu valgum and external tibial torsion deformities with subsequent gonarthrosis, which becomes painful and debilitating. There is no consensus regarding treatment of these patients, but total knee arthroplasty (TKA) is a...

PURPOSE Unbalanced actions of the quadriceps components are closely linked to patellar mal-tracking and patellofemoral pain syndrome. However, it is not clear how individual quadriceps components pull and rotate the patella three dimensionally. The purpose of this study was to investigate in vivo and noninvasively patellar tracking induced by individual quadriceps components. METHODS Individu...

Twenty-five knees with symptomatic lateral patellar instability after total knee arthroplasty (TKA) were treated by operative realignment. Causes of instability include errors in surgical technique, quadriceps imbalance, and trauma. Fourteen knees had proximal realignment, nine had combined proximal and distal realignment, and two had component revision. At an average follow-up period of 50 mon...

BACKGROUND Treatment of patellofemoral instability has evolved as our understanding of the relevant pathoanatomy has improved. In light of these developments, current practice patterns and management trends have likely changed to reflect these advancements; however, this has not been evaluated in a formal study. PURPOSE To determine nationwide patient demographics, surgical trends, and postop...

Background Medial patella-femoral ligament reconstruction (MPFLR) using hamstring tendon is the main procedure for recurrent patellar instability. The anterior half of the peroneus longus tendon (AHPLT) has been proven to be a useful alternate to the hamstring tendon in knee ligament reconstruction. The purpose of this study was to evaluate the clinical outcome of MPFLR using the new graft. M...

We present an instructive case of habitual left patellar dislocation in which the patella had appeared odd due to lateral tilt relative to contralateral side, but had been radiologically confirmed to be on the trochlea at 1 year prior to the referral. An 11-year-old girl presented to our hospital 2 years after the left patella had dislocated with a 'giving way' when cutting to the left. Our phy...

Case Description- Two foals were referred for lameness evaluation. Case 1 was an 8-month-old male KWPN foal and the second one was a 2-day-old female Arabian foal. Clinical Findings- The KWPN foal was presented with severe lameness at walk and the second foal was unable to stand. In both patients luxation of the patella was confirmed on physical and radiological examinations. Treatment and Outc...

Ultrasound elastography entails imaging mechanical properties of tissue and is therefore of significant clinical importance. In elastography, two frames of radio-frequency (RF) ultrasound data that are obtained while the tissue is undergoing deformation, and the time-delay estimate (TDE) between the two frames is used to infer mechanical properties of tissue. TDE is a critical step in elastogra...