Patellofemoral Update focuses on the causes, prevention and treatment of patellofemoral disorders. The blog is sponsored by The Patellofemoral Foundation whose mission is to improve the care of individuals with anterior knee pain through targeted education and research. The Patellofemoral Foundation offers additional online education resources on its website.

‘Not medically necessary’: Follow practical considerations for patellofemoral cartilage restoration

October 21, 2014

Previous Patellofemoral Update blogs have detailed the options and rationale for cartilage restoration in the patellofemoral compartment. In patients who have failed…

Barefoot running: Is it good news for the knee?

October 7, 2014

Running is a popular form of exercise because of the positive health benefits and the fact that it can be done virtually anywhere without any special equipment. Many…

Thorough assessment should be performed after a first-time patellar dislocation

September 15, 2014

The first-time patellar dislocation typically occurs from a traumatic injury. Terminologies used in the literature to describe this injury also include acute, primary…

Autologous chondrocyte implantation in the patella is only part of the story

August 13, 2014

Recently Gomoll and colleagues published an excellent study entitled “Autologous chondrocyte implantation in the patella: A multicenter experience.” The…

Tibial tubercle-to-trochlear groove distance: Is it the best tool for the job?

July 22, 2014

The surgical community has long struggled with the concept of bony malalignment in the setting of patellofemoral instability. Authors agree that a subset of patients who…

Cartilage resurfacing, anteromedialization, or both for patella cartilage lesions?

June 18, 2014

It can be difficult to determine the best surgical option when dealing with symptomatic focal patella cartilage lesions. Distal realignment (anteromedialization) can be…

Previous injury, rehab of dislocated patella may lead to elongated MPFL

May 30, 2014

This blog is inspired by the recent paper that Oliveira and colleagues published on “Medial patellofemoral ligament anatomy: Is it a predisposing factor for…

Anterior knee pain: Remember to look up and be aware of structural anomalies

May 8, 2014

Unfortunately, when an orthopedic surgeon sees a patient with anterior knee pain in the office, he or she normally only focuses on the knee. If we do this we are making…

Focus on the tubercle transfer: Avoid complications, choose fixation

April 23, 2014

Surgical treatment of patellar instability has many components and successful outcomes have been reported with many different techniques. Colvin and West noted that more…

Radiographic parallax: Accuracy of lateral radiography determines femoral fixation site for MPFL graft placement during reconstruction

April 8, 2014

Anatomic tunnel placement in medial patellofemoral ligament reconstruction, particularly on the femur, is critical to restoring graft isometry and function. Although the…