By Vicente Sanchis-Alfonso
Clinically orientated and richly illustrated, this publication presents entire tips at the surgical and non-surgical administration of the anterior knee ache syndrome and is aimed toward orthopedic surgeons, activities drugs practitioners, knee experts and actual therapists.
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Extra info for Anterior knee pain and patellar instability
064). Discussion Patients with patellar symptoms can be divided into two groups: those with patellar instability and those with anterior knee pain. Instability has a clear biomechanical basis. 5. 1]line) vs. nonoperated knee (red line). Asterisk = nonoperated knee. Rhombus = operated knee. 6. Amplitude of the VMO and VL of the operated knee and the contralateral asymptomatic nonoperated knee. VMO:VL ratio of the operated knee vs. nonoperated knee. 13 On the contrary, the causative mechanisms of patellar pain remain less well understood, in spite of its high prevalence.
27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. Etiopathogenic Bases and Therapeutic Implications knee without intra-articular anesthesia. Am J Sports Med 1998; 26: 773–777. Dye, SF, HU Staubli, RM Biedert et al. The mosaic of pathophysiology causing patellofemoral pain: Therapeutic implications. Operative Techniques in Sports Medicine 1999; 7: 46–54. Farahmand, F, MN Tahmasbi, and AA Amis. Lateral force-displacement behaviour of the human patella and its variation with knee flexion: A biomechanical study in vitro.
Nonoperative treatment includes physical therapy, medication, counseling, modification of activities, stopping certain activities, and most important, time. Generally, surgery should be considered as a last recourse after all conservative options have been exhausted. Surgical Technique A proximal realignment, as described by Insall,19 was performed on all patients. A lateral retinacular release extending along the most distal fibers of the vastus lateralis (vastus lateralis obliquus), the lateral patellar edge, and the lateral edge of the patellar tendon was always performed before the medial imbrication.