BACKGROUND Multiple epiphyseal dysplasia (MED) is one of the more common generalised skeletal dysplasias. Due to its clinical heterogeneity diagnosis may be difficult. Mutations of at least six separate genes can cause MED. Joint deformities, joint pain and gait disorders are common symptoms. CASE PRESENTATION We report on a 27-year-old male patient suffering from clinical symptoms of autosom...

PURPOSE The purpose of this study was to evaluate the effect of surgical reinsertion of the medial patellofemoral ligament (MPFL) to the adductor tubercle compared with conservative treatment in patients with primary dislocation of the patella. METHODS Eighty patients with primary patella dislocation were included in the study. Delayed arthroscopy (mean, 50 days after injury) was performed to...

Patella alta is common in cerebral palsy, especially in patients with crouch gait. Correction of patella alta has been advocated in the treatment of crouch, however the appropriate degree of correction and the implications for knee extensor function remain unclear. Therefore, the goal of this study was to assess the impact of patellar position on quadriceps and patellar tendon forces during nor...

BACKGROUND Various techniques for quadriceps tendon repair have been described with biomechanical studies suggesting greater failure threshold with longitudinally placed drill holes. 1 The current gold standard for repair uses 3–4 sutures 2 passed through parallel longitudinal transpatel-lar bone tunnels. We describe a simple and reproducible technique Figure 1 Acufex ® Director™ Drill Guide po...

Complications of patellar dislocation include osteochondral injury of the lateral femoral condyle and patella. Most cases of osteochondral injury occur in the anterior region, which is the non-weight-bearing portion of the lateral femoral condyle. We describe two patients with osteochondral injury of the weight-bearing surface of the lateral femoral condyle associated with lateral dislocation o...

The patella is the largest sesamoid bone in the body. As the patella bone is responsible for the strong extensor mechanism of the knee joint, its reconstruction and anatomical restoration after fracture is always desirable over excision. Extra articular fracture of lower pole of patella accounts for less than 10 percent of all patellar fractures. The treatment of these fractures is complicated,...

OBJECTIVE Modified anterior tension wiring with K-wires and cannulated lag screws with anterior tension wiring are currently the fixation of choice for patellar fractures. Failure of fixation, migration of the wires, postoperative pain and resulting revision surgery, however, are not uncommon. After preliminary biomechanical testing of a new fixed-angle plate system especially designed for fixa...

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...