Recurrent dislocation of the patella probably has several causes. In many patients abnormal laxity of the knee is present and this may predispose to dislocation (Dc Palma 1954). A family has come to our notice in which three members suffered recurrent dislocation of the patella and a fourth had probably sustained a single dislocation. All the former had abnormally lax knees and most other joint...

The objective of this study was to explore the clinical effect of medial and lateral retinaculum plasty for congenital patellar dislocation due to small patella syndrome. Twelve patients with congenital patellar dislocation due to small patella syndrome treated at the authors' hospital between January 2005 and February 2010 were enrolled in the study. The study group comprised 4 men (4 knees) a...

Acute patellar dislocation or subluxation is a common cause for knee injuries in the United States and accounts for 2% to 3% of all injuries. Up to 49% of patients will have recurrent subluxations or dislocations. Importance of both soft tissue (predominantly, the medial patellofemoral ligament, MPFL, which is responsible for 60% of the resistance to lateral dislocation) and bony constraint of ...

BACKGROUND Patellar tendinopathy (jumper's knee) is characterized by localized tenderness of the patellar tendon at its origin on the inferior pole of the patella and a characteristic increase in signal intensity on magnetic resonance imaging at this location. However, it is unclear why the lesion typically occurs in this area of the patellar tendon as surface strain gauge studies of the patell...

In this case report, the surgical treatment of a calf with congenital, unilateral lateral patellar luxation clinical, radiography, and computed tomography findings is presented. A 5-day-old was referred due to an extremely flexed knee joint hindlimb weakness. Radiographic, tomographic, orthopedic examination demonstrated grade 3 normal stifle bone anatomy. Surgery includes release medial imbric...

Chondromalacia of the patella is frequently encountered in patients with anterior knee pain. Arthroscopic chondroplasty with perforation of subchondral bone remains a popular treatment alternative in spite of the inferior mechanical properties of the fibrocartilaginous tissue that this procedure is designed to promote. We report a case of cystic degeneration of the patella as a previously unrec...

Congenital patellar dislocation is a rare condition in which the patella is permanently dislocated and cannot be reduced manually. The patella develops normally as a sesamoid bone of the femur. This congenital dislocation results from failure of the internal rotation of the myotome that forms the femur, quadriceps muscle and extensor apparatus. It usually manifests immediately after birth, alth...

DISCUSSION In cases where the surgeon would prefer to resurface a defi cient patella because the option of retaining the host would lead to maltracking, we have found this technique to be reliable, versatile and cheap to overcome the otherwise complicated scenario of patella defi ciency. It avoids the risk of fracture by reducing the amount of bone that would otherwise be resected for a traditi...

A common rehabilitation strategy for patellofemoral pain syndrome (PFPS), which lacks scientific evidence, includes pulling the patella medially with tape to reduce pain and increase the vastus medialis oblique (VMO) muscle activity. The purpose of this study was to examine the effect of various patellar taping procedures on force production, EMG activity of the VMO and vastus lateralis (VL) mu...

BACKGROUND Medial opening wedge high tibial osteotomy (HTO) is a well-described treatment in early medial compartmental osteoarthritis of the knee. However, two undesirable sequelae may follow -patella baja and changes in the posterior tibial slope (TS). MATERIALS AND METHODS We conducted a retrospective study in patients who underwent HTO in our center between September 2009 and February 201...