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.

BLOG: Patellofemoral malalignment and its correction

November 27, 2017

The concept of getting a patella into an optimal relationship with its opposing trochlea in patients with recurrent patella instability is well accepted. The idea here…

BLOG: Trochleoplasty update 2017

October 16, 2017

Recurrent patellofemoral instability has defined pathoanatomic risk factors: patella alta, trochlear dysplasia and a lateral tracking vector (increased Q-angle, tibial

BLOG: TT-TG distance and our criteria for a tibial tubercle transfer

August 8, 2017

Carlson and colleagues recently wrote: “The static [tibial tubercle to trochlear groove] TT-TG distance cannot accurately predict dynamic lateral displacement of…

BLOG: To resurface the patella or unload it

July 24, 2017

Many alternatives for articular resurfacing, such as cell-based, metal/plastic, osteochondral allograft, autologous transplant, etc., have become available. The…

BLOG: Thoughts on the current state of patella instability surgery

June 1, 2017

In this entry, I will discuss my thoughts on the state of patella instability surgery. Of note, I will detail the importance of accurate decision-making, the efficacy of…

BLOG: Use common sense recognition, treatment for patellofemoral pain in young patients

March 10, 2017

For many years, I have seen spot softening of the articular cartilage under the patella. This frequently occurred in young people, usually female patients, who had no…

BLOG: Surgical correction for patellar instability and genu valgum in skeletally immature patients

February 20, 2017

Medial patellofemoral ligament reconstruction has been popularized as the surgical treatment of choice for most patients with patellar instability. Despite encouraging…

BLOG: The evaluation of patellar maltracking

January 30, 2017

Patellar maltracking is a term often associated with patellofemoral pathology, but its description and relevance in the diagnosis and management of patellar instability…

BLOG: When to perform total or partial knee arthroplasty in cases with isolated patellofemoral osteoarthritis

December 21, 2016

The following article deals with isolated patellofemoral osteoarthritis. It is assumed throughout the article that previous conservative treatment and/or joint…

BLOG: Anisometry of MPFL reconstruction in the setting of patella alta, increased TT-TG distance

October 24, 2016

The incidence of patellar dislocation is 29 per 100,000 in adolescents and recurrence rates with nonoperative treatment have been reported from 15% to 44%. Dejour and…