The aim of this study was to analyze clinical and radiologic results of an arthroscopic medial plication with the pullout technique and to define indications and limitations of this procedure for patellar instability. Records of 45 patients treated for patellar instability with arthroscopic medial plication with the pullout technique were reviewed. The mean patient age was 22.8±8.3 years. The t...

PURPOSE The purpose of this study is to assess the clinical and radiological results of patients who underwent patellar retention or resurfacing for moderate or severe patellar articular defects during total knee arthroplasty and evaluate the clinical efficacy of patellar resurfacing according to the articular defect of the patella. MATERIALS AND METHODS From May 2003 to March 2006, 252 patie...

Background: There are a number of different factors that are thought to play a role in patellar instability, including injuries to the medial patellofemoral ligament (MPFL), trochlear dysplasia, patella alta, and an increased tibial tuberosity-trochlear groove (TT-TG) distance. Objective: To use MRI to assess injury patterns to the MPFL, trochlear dysplasia, patellar height, and TT-TG distance ...

The purpose of this study is to determine if patellar maltracking is more prevalent among patellofemoral (PF) pain subjects with patella alta compared to subjects with normal patella height. We imaged 37 PF pain and 15 pain free subjects in an open-configuration magnetic resonance imaging scanner while they stood in a weightbearing posture. We measured patella height using the Caton-Deschamps, ...

Figure 1. Lateral knee radiograph showing patella alta. A 68-year-old male presented to the emergency department with anterior right knee pain after falling at home and directly hitting his patella on the stepladder edge while he was going upstairs. Physical examination revealed infrapatellar region painful swelling and impaired knee extension. Knee radiographs showed no fracture; however, the ...

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...

This was a retrospective review of the nine open wedge high tibial osteotomy (HTO) done in a regional hospital in Hong Kong from 2006 to 2008. The mechanical hip-knee-ankle angle improved from average 169.5°(164°-175°) to average 183.9° (179°-187°). Patellar descent was noted in all patients postoperatively, with Blackburne-Peel (BP) index significantly changing from 0.78 (0.64-0.93) to 0.59 (0...

Aim: Abnormal positioning of the patella, which superior position is defined as patella alta (PA), whereas inferior baja (PB). Most measurements patellar evaluations are time-consuming. In this study, we aimed to examine diagnostic accuracy visual evaluation according physeal line and determine inter- intraobserver agreement in MRI examinations. Material Methods: Knee examinations performed bet...

PURPOSE OF THE STUDY The objective of the study was to find out to what extent anatomical changes due to high osteotomy of the tibia affect knee function after total knee arthroplasty. MATERIAL Of the patients with knee osteoarthritis treated by cemented total PFC prostheses in 1995, two groups were selected. Group I consisted of 50 patients who had knee replacement without previous tibial os...