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.

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…

Many aspects of medial patellofemoral reconstruction are still controversial

March 31, 2014

Much attention has been given to the medial patellofemoral ligament after Feller and the group from Durham, N.C., introduced us to the ligament in the early 1990s. Since…

Femoral fixation of medial patellofemoral ligament reconstruction grafts varies, presents challenge

February 17, 2014

Elvire Servien, MD, PhD, and her team in Lyon, France have studied the femoral fixation of medial patellofemoral ligament reconstruction grafts. They have emphasized the…

Variability in tibial tubercle to trochlear groove distance and measurements of malalignment

January 29, 2014

In the assessment of patellar instability, malalignment is an important factor to consider in determining the appropriate surgical treatment. Mechanical variations, such…

Anteromedial tibial tubercle transfer is a powerful procedure to control patellofemoral pain, instability

January 8, 2014

Anteromedial tibial tubercle transfer, originally described in 1983, effectively moves the patella from tracking laterally and thus unloads the lateral patella while…

Is there any indication for trochleoplasty?

December 23, 2013

Trochleoplasty for patients with recurrent patellar instability has been debated the past few years. The procedure is becoming more common in Europe, while orthopedic…

Catastrophic thinking is a new puzzle piece in understanding anterior knee pain

December 5, 2013

Anterior knee pain is one of the most common reasons to consult an orthopedic surgeon who specializes in the knee. Despite the high frequency of anterior knee pain, its…