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Diagnosis and Treatment of Lateral Patellar Compression Syndrome

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Presentation on theme: "Diagnosis and Treatment of Lateral Patellar Compression Syndrome"— Presentation transcript:

1 Diagnosis and Treatment of Lateral Patellar Compression Syndrome
Michael G. Saper, D.O., A.T.C., C.S.C.S., David A. Shneider, M.D.  Arthroscopy Techniques  Volume 3, Issue 5, Pages e633-e638 (October 2014) DOI: /j.eats Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Preoperative arthroscopic image of the patellofemoral compartment (right knee), viewed from the anterolateral portal, showing 2+ lateral patellar laxity at full knee extension. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Preoperative arthroscopic image of the patellofemoral compartment (right knee), viewed from the anteromedial portal, showing compression of the lateral facet of the patella over the lateral femoral condyle with the knee at 90° of flexion. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Right knee after a midline skin incision. Electrocautery is used to free the lateral side of the patellar tendon. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 The lateral retinaculum is carefully opened at the inferolateral tip of the patella and carried only far enough proximally to allow the patella to center in the trochlear groove. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 The lateral release is repaired by rotating a flap of adjacent iliotibial band to close the defect. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Right knee after lateral release, anteromedial tibial tubercle transfer, and repair of the lateral retinaculum. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

8 Fig 7 Postoperative arthroscopic image of the patellofemoral articulation, viewed from the lateral portal (right knee), showing a stable patella, centered in the trochlea. Arthroscopy Techniques 2014 3, e633-e638DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions


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