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.

Patella alta, patellar instability: Complex interplay between patellar height, instability and other risk factors

December 16, 2014

During normal patellar tracking, the patella engages in the trochlea at around 30° of knee flexion and remains stable then after due to the bony constraints of the…

Tibial tubercle osteotomy in association with MPFL reconstruction: When is it really needed?

December 8, 2014

Recurrent lateral patellar dislocation is a debilitating knee condition that frequently involves young, active patients, significantly affecting their quality of life…

Medial patellar instability: Beware of the lateral release

November 4, 2014

Medial patellar instability is an uncommon form of patellar instability. The traditional surgical approaches to patellar instability aim to address lateral instability…

‘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…

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