Main description:

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.

Feature:

Adopts an evidence-based approach to assess the efficacy of conservative and surgical approaches to the treatment of patellofemoral pain, instability, and arthritis

Considers in detail the role of the different imaging methods in patients presenting with patellofemoral disorders

Pays careful attention to findings documented in the literature

Discusses postoperative management and what to do if surgery fails

Back cover:

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.

Contents:

Pathophysiology of anterior knee pain.- Pathophysiology of lateral patellofemoral dislocations.- Natural history of lateral patellofemoral dislocations.- Clinical Presentation of Patellofemoral Disorders.- Clinical examination of the patellofemoral patient.- Standard x-ray examination: patellofemoral disorders.- Patellar height: which index?- Stress Radiographs in the Diagnosis of Patellofemoral Instability.- CT scan evaluation: patellofemoral disorders.- MRI analysis of patella instability factors.- MRI of the Patellofemoral Articular Cartilage.- Patellofemoral pain syndrome : The value of pinhole and SPECT scintigraphic imaging and quantitative measurements of bone mineral equivalent density with quantitative computed tomography.- Gait analysis in patients with patella femoral.- Iatrogenic anterior knee pain with special emphasis on the clinical, radiographical, histological, ultra structural and biochemical aspects after anterior cruciate ligament reconstruction using ipsilateral autografts.- Non-operative treatment of patellofemoral pain: Role of physical therapy.- Lateral Release of the lateral patellar retinaculum: literature review for select patellofemoral disorders.- Medial sided patella: Anatomy.- Arthroscopic medial reefing in acute lateral patella dislocation.- Medial reefing in chronic potential patella instability (PPI).- Medial Patellofemoral Ligament Reconstruction Indications and Surgical Technique.- MPFL Reconstruction: Adductor Sling Technique.- Importance and Radiographic Identification of the Femoral Insertion in Medial Patellofemoral Ligament Reconstruction.- MPTL (Medial Patello-Tibial Ligament).- Distal Realignment: Medialization of Tibial Tuberosity - The Elmslie Trillat Technique.- Bony surgery: Distal realignment surgery for episodic patella dislocations.- Trochlear Lengthening osteotomy with or without elevation of the lateral trochlear facet.- Proximal open trochleoplasty (grooveplasty) for patella instability.- Deepening trochleoplasty for patella instability.- Arthroscopic deepening trochleoplasty for patella instability.- The Role of Limb rotational Osteotomy in the Treatment of PF Dysfunction.- Long term results after Autogenous Cartilage Implantation in lesion of patella femoral joint.- Alternative treatment and new Cell Free Scaffold for patellar cartilage lesion.- Isolated patellofemoral osteoarthritis: Natural history and clinical presentation.- The non-operative treatment of patellofemoral arthritis.- Current concepts regarding tibial tubercle osteotomy.- Isolated patellofemoral osteoarthritis prosthetic indications.- Post-operative management of surgeries aimed at correcting patellofemoral instability: results of an international surgeon survey.- Errors and complications in patellofemoral surgery.- Trochleoplasty for symptomatic trochlear dysplasia in the skeletally immature patient with review of fetal anatomy.- Patellofemoral disorders in the skeletally immature patients.