By Vicente Sanchis-Alfonso
Clinically orientated and richly illustrated, this booklet presents entire advice at the surgical and non-surgical administration of the anterior knee soreness syndrome and is aimed toward orthopedic surgeons, activities drugs practitioners, knee experts and actual therapists.
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Extra resources for Anterior knee pain and patellar instability
In this sense we have found a linear correlation between VMO and VL in the operated knee. Therefore, IPR does not provoke an imbalance in the patellofemoral joint. 16 Finally, we found no deficit of the voluntary activity pattern of VMO. Therefore, we can conclude that advancement of VMO has no deleterious effects on VMO from the SEMG point of view. Muscle activity results in compressive patellofemoral joint forces. 8% of the patients at medium-term follow-up after IPR. We have found retropatellar arthrosis in only 3 knees (8%).
There is no relation between the result (satisfactory vs. 2). In 12 patients, in whom the contralateral nonoperated knee was completely asymptomatic, we found objective PFM in 9 cases, and in 3 cases we found a satisfactory centralization. 25 Preoperatively, we found no radiographic degenerative changes in any case. Roentgenographic assessment, at long-term follow-up, revealed no detectable signs of retropatellar arthrosis in 34 (92%) out of 37 operated knees evaluated by x-rays. 1. CT at 0° of knee flexion.
J Am Acad Orthop Surg 2000; 8: 141–150. Hefti, F, W Muller, RP Jakob et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc 1993; 1: 226–234. Huberti, HH, and WC Hayes. Contact pressures in chondromalacia patellae and the effects of capsular reconstructive procedures. J Orthop Res 1988; 6: 499–508. Hughston, JC. Subluxation of the patella. J Bone Joint Surg 1968; 50-A: 1003–1026. Hughston, JC, WM Walsh, and G Puddu. Patellar subluxation and dislocation.
Anterior knee pain and patellar instability by Vicente Sanchis-Alfonso