BACKGROUND A retrospective study concerning patients presenting with patella instability, treated using a Roux-Elmslie-Trillat reconstruction operation and followed up for 10 years following surgery, is presented. METHODS Pre-operative and follow-up radiographic evaluation included the weight-bearing anteroposterior and merchant views. Evaluation was carried out using the Insall-Salvati index...

The patellar clunk syndrome describes painful catching, grinding or jumping of the patella when the knee moves from a flexed to an extended position after total knee replacement (TKR). The posterior stabilised TKR had been noted to have a higher incidence of this problem. Mobile-bearing posteriorly stabilised TKRs have been introduced to improve patellar tracking and related problems by a mecha...

Today, the treatment of patellar luxations using current techniques has become a very common procedureas part of the surgical treatment. Nevertheless, there are some doubts about such procedures in restraining the patella in lower grade cases. The purpose of the present retrospective clinical study was to determine theefficacy of the soft tissue and bone reconstructive procedures used for vario...

OBJECTIVE To evaluate the patellar height of volunteers with and without patellofemoral pain syndrome (PPS) during maximal voluntary isometric contraction (MVIC) in open kinetic chain (OKC) and closed kinetic chain (CKC) exercises. METHODS Twenty healthy women, and nineteen women with patellofemoral pain syndrome were evaluated and subjected to nuclear magnetic resonance imaging during rest a...

We describe a rare case of a patellar tendon "re-rupture" at the opposite end of a previous proximal tendon repair. A 32-year-old male with a history of surgically repaired right proximal patellar tendon rupture presented with an acute non-traumatic right knee pain and instability during sports. Magnetic resonance imaging confirmed a complete rupture of his distal patellar tendon at the tibial ...

Patellar tendon rupture is a rare, but major event that often requires surgical repair in order to reestablish function of the extensor mechanism of the knee. Rupture of the tendon usually occurs in the 3rd or 4th decade of life and results from slip and fall accidents, or powerful contraction of the quadriceps such as during sporting events or weight lifting [1-3]. Anterior Cruciate Ligament (...

Chronic patellar tendinopathy is a common clinical condition that is managed by physical therapists and is common among athletes and non-athletes alike. Patellar tendinopathy is characterized by the absence of inflammatory cells and prostaglandins and an increased presence of fibroblasts and disorganized collagen (1). Therefore, this condition is not inflammatory as physicians had thought but i...

PURPOSE To examine the influence of two patellofemoral braces on pain response, patellar alignment, and patellofemoral joint contact area in persons with patellofemoral pain. METHODS Fifteen women between the ages of 18 and 45 yr with a diagnosis of patellofemoral pain participated. After the assessment of pain response using a visual analog scale, subjects underwent axial plane magnetic reso...

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...

Macrotraumatic extensor mechanism complications do occur after central third patellar tendon harvest for anterior cruciate ligament (ACL) reconstruction and include intraor postoperative patella fracture and patellar tendon rupture. These are significant complications that often require additional surgery. Intraoperative precision when harvesting the patellar tendon, bone grafting the donor sit...