The incidence of osteomyelitis constantly declines. While the disease most commonly affects the long bones, involvement of the patella is rarely seen. Due to this rarity and the variable clinical presentation, diagnosis is often delayed. The present case report describes a 10-year-old female patient with a delayed diagnosis of patella osteomyelitis. The diagnostic procedures and the treatment r...

BACKGROUND At primary and revision knee arthroplasty, a defi cient patella with a contained or uncontained defect is often encountered,1,2 especially in the presence of longstanding maltracking. In these cases, reconstruction is diffi cult, leaving an unsupported implant. Following the good outcomes achieved using cement fi xation of large defects of the tibial plateau augmented with screws,3 w...

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 We sought to compare associations of patella lead, which may represent a unique cumulative and bioavailable lead pool, with other lead measures in models of renal function. METHODS Renal function measures included blood urea nitrogen, serum creatinine, measured and calculated creatinine clearances, and urinary N-acetyl-beta-D-glucosaminidase (NAG) and retinol-binding protein. RESU...

Among stress fractures associated with sports activities, patellar stress fracture is rare. Regarding patella stress fractures, so far only distal transverse or lateral longitudinal fractures have been reported, but there are no reports of transverse fractures occurring in the proximal patella. We describe an extremely rare case of transverse stress fracture of proximal patella in a 9-year-old ...

The rotational alignment tヲfthe lovver limbs of 24 patients who developed r巴currentdislocation of the patella were measured by means of computed axial tomography. The femoral anteversion and the external rotation of the knee joint of these patients respectively showed 31.9土15.2° and 9.2土6.8° on the average. These figures were significantly larger than those of the control. The average external ...

The radiological findings in five patients with features of the ischio-pubic-patella syndrome are presented. All of these patients have genetic/cytogenetic evidence of campomelic dysplasia. The ischio-pubic-patella syndrome appears to be a distinct entity from the small patella syndrome as first described by Scott and Taor. The findings in the five presented cases with radiological evidence of ...

Patellofemoral arthroplasty is a treatment option for the relatively young patient with isolated patellofemoral osteoarthritis where conservative treatment has failed. However, despite of reasonable long term results, complications could be challenging. Loosening of the polyethylene patella component is a serious complication and has been reported in 2%. Dislocation of the polyethylene patella ...

Femoral neuropathy may be associated with various etiologies and can cause severe walking disability. We present the case of a 25-year-old woman who underwent surgical repair for a patella fracture and complained of lower extremity pain, paresthesia, and weakness postoperatively. Electromyography and magnetic resonance imaging (MRI) revealed partial peripheral neuropathy of the left femoral ner...

Metastasis of any kind to the patella is rare. Metastasis to the patella causing symptoms representing the first presentation of underlying malignancy is rarer still. We report the case of a previously fit and well 74-year-old male presenting with left anterior knee pain. The initial diagnosis was osteoarthritis but after continued symptoms a diagnosis of solitary patella metastasis from a prim...