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: Identify anatomical abnormalities of anterior knee pain to simplify surgical decision-making

September 4, 2015

Anterior knee pain remains a challenging condition for patients as well as orthopedic surgeons. Nonoperative treatment remains the mainstay of treatment and positive…

BLOG: Discomfort at medial quadriceps tendon-femoral ligament attachment not usually a problem

July 8, 2015

This is my response to a comment on my recent

BLOG: Health care providers need to consider options offered by patient financing programs

July 1, 2015

Most health care practices have financial policies in place that require payment by cash, check or major credit card for out-of-pocket costs. However, in today’s…

BLOG: Commit to practice to get it as right as humanly possible

June 25, 2015

“Amateurs practice until they get it right. Professionals practice until they can’t get it wrong.” This bit of wisdom has been widely quoted, mostly in…

BLOG: Revision surgery must be embraced in this demanding patient population

June 8, 2015

Patellofemoral surgery requires careful attention to the overall anatomy of the patient, including both longitudinal limb alignment and soft tissue balance. If the…

Take a common sense approach to surgery on the lateral retinaculum of the patella

May 20, 2015

It is well-established that isolated lateral releases do not lead to successful long-term outcomes when performed for patella instability or anterior knee pain. Recently…

BLOG: Medial quadriceps tendon-femoral ligament provides alternative for medial patellofemoral stabilization

April 8, 2015

I just finished dissecting 10 fresh knees with the help of our University of Connecticut Orthopedic Research fellow, Andreas Voss, MD. The medial quadriceps…

Tibial tubercle osteotomy: Soft tissue stabilization may be required to completely correct maltracking

March 20, 2015

The indications for distal realignment as part of the treatment for recurrent patellofemoral instability are based upon limited evidence. For patients without bony…

Radiographic location does not ensure precise femoral fixation site in MPFL reconstruction

February 19, 2015

Currently, it is widely accepted that the choice of an anatomic femoral fixation site is crucial for a successful medial patellofemoral ligament reconstruction. Given…

Why does distal patella articular softening happen?

February 3, 2015

Orthopedic surgeons who are familiar with knee arthroscopy in young people with chronic, resistant anterior knee pain are painfully aware of soft distal and lateral…