Patellofemoral Disorders

Patellofemoral Disorders

CASE STUDY 2 Specific patellofemoral pain ◇ What causes the pain? ◇ What do we mean by 'specific'? ◇ Which examinations are necessary?

Author: Roland M. Biedert

Publisher: John Wiley & Sons

ISBN: 9780470011157

Category: Medical

Page: 376

View: 306

Patellofemoral complaints are a major problem for all those working in sports medicine and orthopaedics. The correct diagnosis at an early stage is essential if subsequent treatment is to be successful and secondary complications are to be avoided. Written by an internationally known team of experts this book looks at the various diagnostic techniques currently available, cites examples of unsuccessful treatments and proposes the most appropriate ones on the proven basis of the latest research. The core of the book is the 20 case studies ranging from simple non-operative treatment to multi-operated patients with salvage procedures. The underlying theme of the book is that treatment of patellofemoral problems must, in the first instance, be somewhat conservative. Surgical interventions should be performed in a response to a clear underlying pathology and only after non-operative treatment has failed. Patellofemoral Disorders is enhanced by the inclusion of some superb specially drawn illustrations and numerous colour photographs in the case studies section.
Categories: Medical

Disorders of the Patellofemoral Joint

Disorders of the Patellofemoral Joint

Highlights of this edition include revised chapters on imaging and arthroscopy of the patellofemoral joint and expanded coverage of nonarthritic anterior knee pain, patellar subluxation, patellar dislocation, articular cartilage lesions in ...

Author: John Pryor Fulkerson

Publisher: Lippincott Williams & Wilkins

ISBN: 0781740819

Category: Medical

Page: 374

View: 749

The classic text by the leading expert on patellofemoral joint disorders is now in its thoroughly updated Fourth Edition, presenting comprehensive, current guidelines on the diagnosis and nonoperative and operative treatment of these common and controversial disorders. Highlights of this edition include revised chapters on imaging and arthroscopy of the patellofemoral joint and expanded coverage of nonarthritic anterior knee pain, patellar subluxation, patellar dislocation, articular cartilage lesions in patellofemoral pain patients, and surgical treatment of patellofemoral chondrosis and arthrosis. The concise and readable text is enhanced by more than 400 illustrations.
Categories: Medical

Tutorials in Patellofemoral Disorders

Tutorials in Patellofemoral Disorders

However, any statements about managing patients with patellofemoral disorders are still based mainly on expert opinion despite some guidance from imaging.

Author: Simon Donell

Publisher: Springer

ISBN: 9783319474007

Category: Medical

Page: 136

View: 109

This book adopts a case-based approach to the management of patellofemoral disorders with the aim of helping orthopaedic surgeons at all levels of experience to decide whether individual patients referred with patellofemoral problems should be treated conservatively or operatively. A series of real-life case stories are used to illustrate every stage of the decision-making process and to explore the reader’s higher-order thinking around patient management. In each case study, the patient’s history, clinical and imaging findings, and management are reported, during the course of which the reader is asked searching questions. The reader is then able to compare his or her responses with those given by the authors, which are provided at the end of each case-specific chapter. This format ensures that knowledge and understanding improve as the reader progresses through the book. Although the cases are addressed primarily from the standpoint of the orthopaedic surgeon, the dominant management strategy is non-operative in many of them. Beyond surgeons, the book will also be of value for musculoskeletal physiotherapists with a particular interest in the knee.
Categories: Medical

Disorders of the Patellofemoral Joint

Disorders of the Patellofemoral Joint

Henderson I, Francisco R. Treatment outcome of extensor realignment for patellofemoral dysfunction. Knee. 2005;12:323–8. Caton JH, Dejour D. Tibial tubercle ...

Author: E. Carlos Rodríguez-Merchán

Publisher: Springer

ISBN: 9783030124427

Category: Medical

Page: 138

View: 813

This state-of-the-art book provides a comprehensive overview of the most common patellofemoral joint problems. Utilizing the latest evidence, it guides readers through prevention, diagnosis and treatment for both adult and paediatric patients. After discussing clinical examination and diagnosis, it explores topics such as acute and recurrent dislocation of the patella, cartilage defects of the joint, patellofemoral instability and patellofemoral osteoarthritis. The book also features a chapter on conservative strategies, including physical medicine and rehabilitation. Research is moving quickly in this field, and as such there is a growing need for consensus documents: written by leading experts, this comprehensive book is a valuable resource for orthopaedic surgeons, knee specialists and sports medicine ones, and is also of great interest to physiatrists, physical therapists and all healthcare workers involved in the care of these patients.
Categories: Medical

Anterior Knee Pain and Patellar Instability

Anterior Knee Pain and Patellar Instability

Conservative and surgical methods for treating patellofemoral disorders are commonly focused on improving patellofemoral biomechanics by balancing the ...

Author: Vicente Sanchis-Alfonso

Publisher: Springer Science & Business Media

ISBN: 0857295071

Category: Medical

Page: 543

View: 169

A multitude of leading international authorities provide fresh insights and approaches for patient evaluation and treatment of Anterior knee pain syndrome and patellofemoral instability. Included are new chapters featuring clinical cases and detailed descriptions of the most important surgical techniques used for the knee extensor mechanism, each being described by the surgeon who developed it. The book is divided in four sections, the first section focuses on the etiopathogenic bases, the second section focuses on emerging technologies, the third section includes difficult clinical cases studied, and the fourth section provides a description of the most important surgical techniques for the knee extensor mechanism.
Categories: Medical

Practice of Pediatric Orthopedics

Practice of Pediatric Orthopedics

Many factors may contribute to patellofemoral instability [A]. Systemic Disorders Patellofemoral instability is more common in children with (I) knee ...

Author:

Publisher: Lippincott Williams & Wilkins

ISBN: 9781582558189

Category: Medical

Page: 460

View: 179

Designed for general orthopedists, residents, pediatricians, physical therapists, and students, Practice of Pediatric Orthopedics, Second Edition is a practical, authoritative, generously illustrated, full-color how-to guide to the essentials of pediatric orthopedics. Dr. Staheli provides current, clinically proven, mainstream, whole child oriented management recommendations for musculoskeletal problems in children. The book features over 2,300 full-color photographs and drawings and numerous flowcharts to guide patient management. For this updated and expanded Second Edition, Dr. Staheli has recruited eight distinguished co-authors to contribute new information. Illustrations have been updated and many new illustrations have been added. The upper limb and hand chapters have been separated and expanded.
Categories: Medical

Patellofemoral Pain Instability and Arthritis

Patellofemoral Pain  Instability  and Arthritis

However, the field of the biomechanical evaluation in patellofemoral disorders has not been fully explored. For instance, no consensus has been achieved ...

Author: Stefano Zaffagnini

Publisher: Springer Science & Business Media

ISBN: 3642054242

Category: Medical

Page: 331

View: 954

Despite numerous studies, a lack of consensus still exists over many aspects of patellofemoral pain, instability, and arthritis. This book adopts an evidence-based approach to assess each of these topics in depth. The book reviews general features of clinical examination and global evaluation techniques including the use of different imaging methods, e.g. x-rays, CT, MRI, stress x-rays, and bone scan. Various conservative and surgical treatment approaches for each of the three presentations – pain, instability, and arthritis – are then explained and assessed. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for the efficacy of each imaging and treatment method. It is hoped that this book will serve as an informative guide for the practitioner when confronted with disorders of the patellofemoral joint.
Categories: Medical

Patellofemoral Pain and Instability

Patellofemoral Pain and Instability

Interest in patellofemoral disorders has increased in recent years as new studies and new technologies have emerged, helping guide us in terms of diagnosis ...

Author: Beth E. Shubin Stein

Publisher: Springer

ISBN: 9783319976402

Category: Medical

Page: 216

View: 819

Practical and user-friendly, this book is a simple and straightforward clinical guide to understanding the common problems and pathologies seen in the patellofemoral joint, clearly outlining the most prevalent problems encountered and highlighting the latest surgical techniques. Divided into two major sections on patellofemoral pain and instability, it discusses etiology, making the correct diagnosis, and how to manage these problems in both adults as well as in the skeletally immature, using outcomes-based approaches for each condition. Part I covers topics such as anterior knee pain, malalignment and overload syndromes, and arthritis, while part II describes conditions such as acute patellar dislocation, recurrent instability and how to avoid complications. Both parts also include chapters on imaging strategies for the knee. Providing the most current research on these topics in a field that is rapidly changing and evolving, and explaining the treatments and their support in the current literature, Patellofemoral Pain and Instability is an up-to-date, straightforward resource for orthopedic surgeons and residents, sports medicine specialists, and any clinical professional treating conditions of the knee.
Categories: Medical

Noyes Knee Disorders Surgery Rehabilitation Clinical Outcomes E Book

Noyes  Knee Disorders  Surgery  Rehabilitation  Clinical Outcomes E Book

... complex regional pain syndrome prevent medial patellar subluxation. ... to ensure a full range of motion and normal patellofemoral tracking.

Author: Frank R. Noyes

Publisher: Elsevier Health Sciences

ISBN: 9780323428552

Category: Medical

Page: 1176

View: 674

Frank R. Noyes, MD – internationally-renowned knee surgeon and orthopaedic sports medicine specialist – presents this unparalleled resource on the diagnosis, management, and outcomes analysis for the full range of complex knee disorders. Relies on Dr. Noyes’ meticulous clinical studies and outcomes data from peer-reviewed publications as a scientifically valid foundation for patient care. Features detailed post-operative rehabilitation programs and protocols so that you can apply proven techniques and ease your patients’ progression from one phase to the next. Presents step-by-step descriptions on soft tissue knee repair and reconstruction for anterior cruciate ligament reconstruction, meniscus repair, soft tissue transplants, osseous malalignments, articular cartilage restoration, posterior cruciate ligament reconstruction, and more to provide you with guidance for the management of any patient. Contains today’s most comprehensive and advanced coverage of ACL,PCL, posterolateral, unicompartmental knee replacement, return to sports after injury, along with 1500 new study references supporting treatment recommendations. Features all-new content on unicompartmental and patellofemoral knee replacement, updated operative procedures for posterior cruciate ligament and posterolateral ligament deficiency, updated postoperative rehabilitation protocols, and new information on cartilage restoration procedures and meniscus transplantation. Includes some of the most comprehensive and advanced discussions on arthrofibrosis, complex regional pain syndrome, tibial and femoral osteotomies, and posterolateral reconstructions available in modern published literature. Covers gender disparities in ligament injuries for more effective analysis and management.
Categories: Medical

Fundamentals of Pediatric Orthopedics

Fundamentals of Pediatric Orthopedics

Systemic Disorders Patellofemoral instability is more common in children with ( 1 ) knee dysplasias , such as occurs in nail - patella syndrome ( B ) ...

Author: Lynn T. Staheli

Publisher: Lippincott Williams & Wilkins

ISBN: 0781774977

Category: Medical

Page: 306

View: 921

Geared to the everyday needs of pediatricians, primary care physicians, and orthopedists, Fundamentals of Pediatric Orthopedics, Fourth Edition is a complete and user-friendly guide to diagnosis and management of pediatric orthopedic problems. Treatment plans are reviewed and illustrated and pitfalls, including normal variations, are discussed. Emphasis is on the welfare of the whole child, and parent education information is included. The uniquely graphic presentation in this best-selling book features 1,025 full-color drawings and photographs, which have been improved for this edition. Other Fourth Edition highlights include greater emphasis on primary care, more information on trauma principles, and updated treatment plans and parent education.
Categories: Medical

Osteoarthritis

Osteoarthritis

Patellofemoral Disorders protocol are used for postoperative rehabilitation ... Patellar sleeves or dynamic braces are controversial but sometimes helpful .

Author: Roland W. Moskowitz

Publisher: Lippincott Williams & Wilkins

ISBN: 0781767075

Category: Medical

Page: 470

View: 377

Written by the foremost experts, this text is a comprehensive clinical reference on osteoarthritis. Chapters review current information on the epidemiology, etiopathogenesis, and pathology of osteoarthritis, the biochemistry and molecular and cell biology of articular cartilage, and experimental models of osteoarthritis. Major sections focus on clinical presentations, roentgenologic and laboratory diagnosis, and treatment, including pharmacologic treatment, intra-articular therapy, surgery, arthroscopy, and complementary and alternative medicine. The authors discuss the indications, outcomes, and complications of various orthopaedic procedures. Chapters present orthopaedic approaches to osteoarthritis of various joints—the shoulder, hand, wrist, elbow, hip, knee, foot, ankle, and cervical, thoracic, and lumbar spine.
Categories: Medical

Understanding the Patellofemoral Joint From Instability to Arthroplasty An Issue of Clinics in Sports Medicine

Understanding the Patellofemoral Joint  From Instability to Arthroplasty  An Issue of Clinics in Sports Medicine

patellar dislocation is 5.8 cases per 100,000 population, and up to 29 cases per ... Most patellofemoral disorders are the result of aberrant anatomy (ie, ...

Author: Alexander Meininger

Publisher: Elsevier Health Sciences

ISBN: 9780323320740

Category: Medical

Page: 201

View: 675

This issue of Clinics in Sports Medicine will focus on patellofemoral disorders and how they are among the most common clinical conditions managed in the orthopaedic and sports medicine setting. The correct diagnosis at an early stage is essential if subsequent treatment is to be successful and secondary complications are to be avoided. Nonoperative intervention is usually the first form of treatment; however, there is no consensus on the most effective method of treatment.
Categories: Medical

Patellofemoral Pain Instability and Arthritis

Patellofemoral Pain  Instability  and Arthritis

Disorders of the patellofemoral joint. 4th ed. Philadelphia, PA: Lippincott, Williams and Wilkins; 2004. 8. Vanlerberghe C, Boutry N, Petit F. Genetics of ...

Author: David Dejour

Publisher: Springer Nature

ISBN: 9783662610978

Category: Medical

Page: 582

View: 453

This excellently illustrated book adopts an evidence-based approach to evaluate the efficacy of different techniques for the imaging and treatment of patellofemoral pain, instability, and arthritis. The aim is to equip practitioners with an informative guide that will help them to manage disorders of the patellofemoral joint by casting light on the many issues on which a consensus has been lacking. The opening chapters supply essential background information and explain the role of various imaging modalities, including radiography, CT, MRI, and bone scan. The various conservative and surgical treatment approaches for each of the three presentations – pain, instability, and arthritis – are then described and assessed in depth, with precise guidance on indications and technique. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for each imaging and treatment method. The new edition has been thoroughly updated, with inclusion of additional chapters, in order to present the latest knowledge on biomechanics, diagnosis, surgical techniques, and rehabilitation.
Categories: Medical

The Patellofemoral Joint

The Patellofemoral Joint

Disorders of patellofemoral alignment. J Bone Joint Surg Am. 1424–9. 8. 1990;72(9): Grana WA, Kriegshauser LA. Scientific basis of extensor mechanism ...

Author: Alberto Gobbi

Publisher: Springer

ISBN: 9783642549656

Category: Medical

Page: 287

View: 545

This book is a comprehensive and thorough compilation of work from across the world that documents the state of the art in assessment and management of the patellofemoral joint. While a wide range of surgical techniques for different pathologies are described, attention is also devoted to conservative treatment and approaches involving mesenchymal stem cells, autologous chondrocyte implantation, platelet-rich plasma, and pulsed electromagnetic fields. Anatomy, clinical examination, and methods of evaluation are discussed, and individual chapters address important miscellaneous topics, including rehabilitation, complications of surgery, injuries in specific patient populations, and scoring systems. Though patellofemoral joint pathology is a frequent clinical problem, its management remains challenging for the orthopaedic surgeon. The editors believe that this book, published in cooperation with ISAKOS, will assist in improving understanding, diagnosis, and treatment for future patients.
Categories: Medical

The Patella

The Patella

Casscells S. The arthroscope in the diagnosis of disorders of the patellofemoral joint. Clin Orthop 1979,144:45-50. Fu F, Maday M: Arthroscopic lateral ...

Author: Giles R. Scuderi

Publisher: Springer Science & Business Media

ISBN: 9781461241881

Category: Medical

Page: 352

View: 298

The problems of the patellofemoral joint remain a challenge to the orthopaedic surgeon. In spite of many articles in scientific journals, an outstanding monograph, and several excellent textbook chapters, the patella is still an enigma in many respects. The etiology of patellar pain is controversial, and there is no completely satisfying explanation for its cause or its relationship to chondromalacia. Curiously, neither the widespread use of arthroscopy nor the advent of newer diagnostic tests such as CT scanning and magnetic resonance imaging have cast much light. Without a better understanding of why patellar disorders occur it is not surprising that there is no consensus on how to fix them. Arthros copy has contributed little except to the patient's psyche. The currently most popular surgical treatment for recurrent dislocation of the patella was first described 50 years ago. One concrete advance, albeit a small one, is a better understanding of the role of anatomical abnormalities and patellofemoral dysplasia in patellar instabilities. It gives me great pleasure that many of the contributors are, like Dr.
Categories: Medical

Patellofemoral Instability

Patellofemoral Instability

White LC, Dolphin P, Dixon J. Hamstring length in patellofemoral pain syndrome. Physiotherapy. 2009;95:24-8. Herrington L. Effect of corrective taping of ...

Author: Sachin Tapasvi

Publisher: JP Medical Ltd

ISBN: 9789385999666

Category: Medical

Page: 156

View: 683

Concise guide to misalignment of the kneecap, complications and treatment. Covers both conservative and surgical management procedures. Includes clinical photographs and high quality diagrams.
Categories: Medical

Traumatic Disorders of the Knee

Traumatic Disorders of the Knee

Radiograph of a lateral patellar dislocation in a patient with Down's syndrome. Down's patients, individuals are rarely disabled.

Author: John M. Siliski

Publisher: Springer Science & Business Media

ISBN: 9781461243106

Category: Medical

Page: 432

View: 947

Management of knee trauma has changed rapidly over the past decade, with the acquisition of additional knowledge and new surgical techniques. At present, the optimal management of knee injuries requires the synthesis of multiple approaches drawn from orthopaedics and related surgical fields. The goal of this work is to comprehensively discuss the current state of the art in management of all types of knee trauma, including soft tissue and osteoarticular injuries. In order to take care of the patient with knee trauma, the orthopaedic surgeon must be able to assess and manage injuries of menisci, ligaments, articular surfaces, and bone, as all of these structures must work harmoniously for the knee to function properly. This book has been organized into five major sections. The first section on fundamental principles covers anatomy, articular cartilage injury and repair, osteochondral fractures, soft tissue management, extensile exposure, exter nal fixation, and the use of allografts in the knee. These chapters set the stage for the second section, which covers major fractures of the distal femur and tibial plateau, and the third section, where injuries of the exten sor mechanism are discussed. In section four, injuries of the menisci and ligaments are covered comprehensively, including discussion of multiple liga ment disruptions and knee dislocations. The final section covers late recon structive problems and complications of knee trauma, including knee stiff ness, malunions and nonunions, arthrodesis, total knee replacements for posttraumatic arthritis, fractures about total knee replacement, and extensor mechanism disruption in total knee replacements.
Categories: Medical

Sports Injuries

Sports Injuries

6(1), 15–26 (2001) Callaghan, M.J., Oldham, J.A.: Quadriceps atrophy: to what extent does it exist in patellofemoral pain syndrome ...

Author: Mahmut Nedim Doral

Publisher: Springer Science & Business Media

ISBN: 9783642156298

Category: Medical

Page: 1247

View: 948

In recent years, research studies into sports injuries have provided healthcare professionals with a better understanding of their etiology and natural history. On this basis, novel concepts in the diagnosis and management of these conditions are now being explored. This timely book offers a complete guide to the latest knowledge on the diagnosis and treatment of the full range of possible sports injuries. Individual sections are devoted to biomechanics, injury prevention, and the still emerging treatment role of growth factors, which foster more rapid tissue healing. Sports injuries of each body region are then examined in detail, with special attention to diagnostic issues and the most modern treatment techniques. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.
Categories: Medical

Postsurgical Orthopedic Sports Rehabilitation

Postsurgical Orthopedic Sports Rehabilitation

KNEE TENDON RUPTURES CHAPTER 25 Patellar and Quadriceps Tendon Rupture ... Post WR: Clinical evaluation of patients with patellofemoral disorders, ...

Author: Robert C. Manske

Publisher: Elsevier Health Sciences

ISBN: 9780323027021

Category: Medical

Page: 714

View: 616

Written by well-known experts in a reader-friendly style, this is the only book to focus specifically on post-surgical guidelines for successful rehabilitation of the knee and shoulder for sports patients. Content covers basic concepts related to soft tissue healing, as well as core concepts in sports medicine rehabilitation, all of which lay the groundwork for discussions of specific protocols. Detailed descriptions of the latest post-surgical procedures for various knee and shoulder pathologies equip readers with essential knowledge needed to recommend the most effective treatment plans. Includes a separate section on multiple ligament knee injuries. Numerous photos and radiographs of topics discussed in the text serve as excellent visual references in the clinical setting. Detailed descriptions of the most current surgical protocols for various knee and shoulder pathologies help readers recommend the best treatment based on proven rehabilitation plans. The inflammatory response is described, with regard to its role in soft tissue healing following surgical procedures of the knee and shoulder. Protocols based on the most recent research available promotes evidence-based practice. A chapter on rotator cuff injuries includes authoritative, up-to-date information on this topic. A chapter on cartilage replacement focuses on the "nuts and bolts" of rehabilitation for this common injury, offering current, hands-on information about one of the fastest changing treatment protocols. Contributors are expert therapists and physicians - respected leaders in their field. Each chapter highlights post-op guidelines and protocols in a consistent format that's immediately accessible and easy to reference. Comprehensive information on soft tissue healing is presented. A separate section on multiple ligament knee injuries presents hard-to-find information that's rarely covered in other resources or literature.
Categories: Medical

Practical Guide to Musculoskeletal Disorders

Practical Guide to Musculoskeletal Disorders

Patellofemoral disorders are also more common in women than in men.9,12 These syndromes are caused by problems in the knee extensor mechanism and ...

Author: Ralph M. Buschbacher

Publisher: Butterworth-Heinemann

ISBN: 0750673575

Category: Medical

Page: 393

View: 113

This practical guide brings you up to speed on the basics of diagnosis and management - a must have for anyone unfamiliar with the musculoskeletal system. Unique to the book is the description of physical therapy techniques, allowing the beginning physiatrist to become familiar with the treatment handled by team members. - A practical, easy to understand introduction to musculoskeletal disorders - Describes physical therapy treatments so that the physician can better direct rehabilitation therapy - Provides solid grasp of anatomy, physiology, kinesiology, and the social sciences pertaining to rehabilitation medicine.
Categories: Medical