STUDY DESIGN A single-case study design. OBJECTIVES To examine the effect of electrical stimulation of the vastus medialis muscle on stiffness, pain and function for a patient with delayed functional progress following a lateral patellar retinacular release. BACKGROUND Five months after an arthroscopic lateral patellar retinacular release, the patient, although highly motivated, had made li...

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...

Patellar dislocation is a well-recognized major complication after total knee arthroplasty (TKA). Treatment of this injury is determined according to the cause of the dislocation. In particular, proximal realignment, distal realignment, and lateral retinaculum release are options if patellar instability is not caused by prosthetic malposition. Here we report a case of patellar dislocation follo...

The success rate of patella-femoral arthroplasty varies between 44% and 90% in 17 years of follow-up. Several studies have been performed previously for assessing the surface wear in the patella-femoral joint. However, they have not included all six degrees of freedom. The aim of this study was to develop a six-axis patella-femoral joint simulator to assess the wear rate for two patellae design...

Patellofemoral joint instability is a complex clinical problem. It may be a consequence of pre-existing anatomical abnormality or trauma. The objectives of this study were to use experimental mechanics to measure patellar stability and to quantify the effects of pathological abnormalities on patellar stability in vitro. Eight fresh-frozen cadaver knees were studied. The patellar stability was m...

Racial differences exist in the dimensions of structures and the commercially available prostheses are designed based on the Caucasians. In this context, the goal of the present investigation was to determine the gender wise measurements of patella bone in South Indians. The present study included axial magnetic resonance images of the knee joint from 140 South Indian adults (70 males, 70 femal...

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 ...