Anterior Knee Pain and Patellar Instability doc

[...]... etiopathogenesis of anterior knee pain and analyzes some myths and truths about patellofemoral disease Historical Background: Internal Derangement of the Knee and Chondromalacia Patellae; Actual Meaning of Patellar Chondral Injury Anterior knee pain in young patients has historically been associated with the terms “internal derangement of the knee and “chondromalacia patellae.” In 1986, Schutzer and colleagues63... Contents 7 Uncommon Causes of Anterior Knee Pain Vicente Sanchis-Alfonso, Erik Montesinos-Berry, and Francisco Aparisi-Rodriguez 115 8 Risk Factors and Prevention of Anterior Knee Pain Erik Witvrouw, Damien Van Tiggelen, and Tine Willems 135 9 Conservative Treatment of Athletes with Anterior Knee Pain Science: Classical and New Ideas Suzanne Werner... Conservative Management of Anterior Knee Pain: The McConnell Program Jenny McConnell and Kim Bennell 167 11 Skeletal Malalignment and Anterior Knee Pain: Rationale, Diagnosis, and Management Robert A Teitge and Roger Torga-Spak 185 12 Treatment of Symptomatic Deep Cartilage Defects of the Patella and Trochlea with and without Patellofemoral... Sanchis-Alfonso, Fermín Ordoño, Alfredo Subías-López, and Carmen Monserrat 21 3 Neuroanatomical Bases for Anterior Knee Pain in the Young Patient: “Neural Model” Vicente Sanchis-Alfonso, Esther Roselló-Sastre, Juan Saus-Mas, and Fernando Revert-Ros 33 4 Biomechanical Bases for Anterior Knee Pain and Patellar Instability in the Young Patient Vicente Sanchis-Alfonso,... anterior knee pain and functional patellofemoral instability in the right knee; however, the left knee is completely asymptomatic In both knees the PFM is symmetric Background: Patellofemoral Malalignment versus Tissue Homeostasis 9 Figure 1.4 CT at 0° from a patient with severe anterior knee pain and patellofemoral instability in the left knee (a) This knee, which was operated on two years ago, performing... incidence of adolescent anterior knee pain syndrome and patellar instability was higher 14 (p < 0.001) in the patients who underwent patellofemoral replacement for isolated patellofemoral osteoarthrosis (22% and 14% respectively) than in those who underwent unicompartmental replacement for isolated medial compartment osteoarthrosis (6% and 1% respectively) They conclude that anterior knee pain syndrome is... objective, should point the way forward Anterior Knee Pain and Patellar Instability is addressed to orthopaedic surgeons (both general and those specialized in knee surgery), specialists in sports medicine and physiotherapists We feel thus that with this approach, this monograph will fill an important gap in the literature of pathology of the extensor mechanism of the knee However, we do not intend to substitute... 1970s only two diagnoses were used relating to anterior knee pain or patellar instability: chondromalacia patellae and recurrent dislocation of the patella What is more, the initial designs for knee arthroplasties ignored the patellofemoral joint In 1979, John Insall published a paper on patellar malalignment syndrome”38 and his technique for proximal patellar realignment, used to treat this syndrome.39... that chondromalacia is the cause of pain. 41 In this way, in 1983 Insall and colleagues reported that anterior knee pain correlates better to malalignment rather than with the severity of chondromalacia found during surgery.40 Fulkerson and colleagues have also emphasized the importance of PFM and excessively tight lateral retinaculum as a source of anterior knee pain. 25,26,63 Finally, in 2000, Ronald... however, the PFM concept is questioned by many, and is not universally accepted to account for the presence of anterior knee pain and/ or patellar instability d However, many patients with patellofemoral pain have no evidence of malalignment, whatsoever.68 Therefore if PFM is a necessary condition for the presence of patellofemoral pain, how could patellofemoral pain be occurring in patients without malalignment? . h0" alt="" Anterior Knee Pain and Patellar Instability FM.qxd 10/19/05 5:45 PM Page i FM.qxd 10/19/05 5:45 PM Page i Vicente Sanchis-Alfonso (Ed) Anterior Knee Pain and Patellar Instability With. Vilanova Valencia Spain British Library Cataloguing in Publication Data Anterior knee pain and patellar instability 1. Patellofemoral joint - Dislocation 2. Patella - Dislocation 3. Knee - Diseases 4. Knee. way forward. Anterior Knee Pain and Patellar Instability is addressed to orthopaedic surgeons (both general and those specialized in knee surgery), specialists in sports medicine and physiotherapists. We