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.

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…

Is anatomic femoral tunnel position important in medial patellofemoral ligament reconstruction?

November 19, 2013

Biomechanical studies have shown increased medial patellofemoral force and pressure with a malpositioned femoral tunnel. Clinical reports describe knee pain, medial…

Lateral facetectomy can improve symptoms of patellofemoral osteoarthritis

November 11, 2013

Isolate patellofemoral osteoarthritis is a relatively common condition. In a radiographic study of patients older than 40 years who had painful knees, Davies and…

Patellar alta: More precise measurements are needed for operative management

October 16, 2013

Patella alta has been a known associated factor of recurrent lateral patella dislocations for decades. The Lyon group recognized patella alta as and one of four main…

Is there a role for medial-sided repair in patellar instability?

October 1, 2013

Historically, combinations of proximal and distal realignment procedures have been used to address patellar instability. The proximal realignment procedures include…

Arthroplasty vs. joint preservation in young adults

September 18, 2013

Treatment of full-thickness patellofemoral chondral lesions in young patients remains a challenge. The goal of restoring hyaline cartilage that possesses normal…

Recognize the unique characteristics of the patellofemoral compartment

September 4, 2013

Unfortunately, the general treatment options for cartilage restoration in the United States have remained somewhat stagnant for more than 15 years. Fortunately, within…