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Patellofemoral Pain, Instability, and Arthritis

E-BookPDF1 - PDF WatermarkE-Book
331 Seiten
Englisch
Springer Berlin Heidelbergerschienen am17.07.20102010
Despite numerous studies, a lack of consensus still exists over many aspects of patellofemoral pain, instability, and arthritis. This book adopts an evidence-based approach to assess each of these topics in depth. The book reviews general features of clinical examination and global evaluation techniques including the use of different imaging methods, e.g. x-rays, CT, MRI, stress x-rays, and bone scan. Various conservative and surgical treatment approaches for each of the three presentations - pain, instability, and arthritis - are then explained and assessed. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for the efficacy of each imaging and treatment method. It is hoped that this book will serve as an informative guide for the practitioner when confronted with disorders of the patellofemoral joint.mehr
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KlappentextDespite numerous studies, a lack of consensus still exists over many aspects of patellofemoral pain, instability, and arthritis. This book adopts an evidence-based approach to assess each of these topics in depth. The book reviews general features of clinical examination and global evaluation techniques including the use of different imaging methods, e.g. x-rays, CT, MRI, stress x-rays, and bone scan. Various conservative and surgical treatment approaches for each of the three presentations - pain, instability, and arthritis - are then explained and assessed. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for the efficacy of each imaging and treatment method. It is hoped that this book will serve as an informative guide for the practitioner when confronted with disorders of the patellofemoral joint.
Details
Weitere ISBN/GTIN9783642054242
ProduktartE-Book
EinbandartE-Book
FormatPDF
Format Hinweis1 - PDF Watermark
FormatE107
Erscheinungsjahr2010
Erscheinungsdatum17.07.2010
Auflage2010
Seiten331 Seiten
SpracheEnglisch
IllustrationenXII, 331 p.
Artikel-Nr.1716285
Rubriken
Genre9200

Inhalt/Kritik

Inhaltsverzeichnis
1;Foreword;5
2;Preface;6
3;Contents;8
4;Pathophysiology of Anterior Knee Pain;12
4.1;1.1 Introduction;12
4.2;1.2 Background: Chondromalacia Patellae, Patellofemoral Malalignment Tissue Homeostasis Theory;12
4.3;1.3 Overload in the Genesis of Anterior Knee Pain. Posterior Knee Pain in Patellofemoral Disorders. Kinetic and Kinematic Analysis Help to Improve Understanding;14
4.4;1.4 Critical Analysis of Realignment Surgery, What Have We Learned? In Criticism of PFM Concept. Is PFM Crucial for the Genesis of Anterior Knee Pain?;15
4.5;1.5 Neuroanatomical Bases for Anterior Knee Pain in the Young Patient: Neural Model ;16
4.6;1.6 Which is the Basic Cause of the Disease? Role of Ischemia in the Genesis of Anterior Knee Pain. Loss of Vascular Homeostasis ;21
4.7;1.7 Author s Proposed Anterior Knee Pain Pathophysiology ( See Fig. 1.9);23
4.8;1.8 Clinical Relevance;24
4.9;1.9 Conclusions;25
4.10;1.10 Summary;25
4.11;References;25
5;Pathophysiology of Lateral Patellar Dislocation;28
5.1;2.1 Introduction;28
5.2;2.2 Soft Tissue Abnormalities;29
5.3;2.3 Bone Abnormalities;30
5.4;2.4 Summary;36
5.5;References;36
6;Natural History of Patellofemoral Dislocations;39
6.1;3.1 Introduction;39
6.2;3.2 Etiology;39
6.3;3.3 Family History;41
6.4;3.4 Recurrence Rate;41
6.5;3.5 Treatment;42
6.6;3.6 Development of Arthritis;42
6.7;3.7 Conclusion;43
6.8;References;43
7;Clinical Presentation of Patellofemoral Disorders;45
7.1;4.1 Anterior Knee Pain;45
7.2;4.2 Patellar Instability;46
7.3;4.3 Patellofemoral Arthritis;47
7.4;4.4 Previous Treatments;48
7.5;4.5 Past Medical History;48
7.6;4.6 Differential Diagnosis;48
7.7;4.7 Summary Statement;48
7.8;References;49
8;Clinical Examination of the Patellofemoral Patient;50
8.1;5.1 Introduction;50
8.2;5.2 Muscle Flexibility;54
8.3;5.3 Flexion-Extension Crepitus;54
8.4;5.4 Apprehension Test;55
8.5;5.5 Conclusions;57
8.6;5.6 Summary;57
8.7;References;57
9;Standard X-Ray Examination: Patellofemoral Disorders;59
9.1;6.1 Introduction;59
9.2;6.2 Basic Standard X-Rays;59
9.3;6.3 Sagittal View;60
9.4;6.4 Axial View;64
9.5;6.5 Conclusion;66
9.6;6.6 Summary;67
9.7;References;67
10;Patellar Height: Which Index?;68
10.1;7.1 Introduction ;68
10.2;7.2 Definition [1-5];68
10.3;7.3 Indices;69
10.4;7.4 Conclusion;72
10.5;7.5 Summary;73
10.6;References;73
11;Stress Radiographs in the Diagnosis of Patellofemoral Instability;75
11.1;8.1 Technique of Obtaining Patellofemoral Stress Radiographs;76
11.2;8.2 Measurements of Patellar Displacement;77
11.3;References;78
12;Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders;79
12.1;9.1 Introduction ;79
12.2;9.2 The Protocol (Lyon s Protocol);79
12.3;9.3 Tibial Tubercle-Trochlear Groove Distance;81
12.4;9.4 Patellar Tilt;81
12.5;9.5 Femoral Anteversion;82
12.6;9.6 External Tibial Torsion;82
12.7;9.7 Other Features of CT Imaging;82
12.8;References;84
13;MRI Analysis of Patellla Instability Factors;85
13.1;10.1 Static Analysis of Instability Factors;85
13.2;10.2 MRI Operative Protocol to Analyze Instability Factors;86
13.3;10.3 Dynamic Evaluation of Patellofemoral Joint;90
13.4;10.4 Summary Statements;93
13.5;References;94
14;MRI of the Patellofemoral Articular Cartilage;96
14.1;11.1 Introduction;96
14.2;11.2 Magnetic Resonance Imaging of the Patellofemoral Joint;97
14.3;11.3 Summary;101
14.4;11.4 Conflicts of Interest;101
14.5;References;101
15;Patellofemoral Pain Syndrome: The Value of Pinhole and SPECT Scintigraphic Imaging and Quantitative Measurements of Bone Mineral Equivalent Density with Quantitative Computed Tomography;104
15.1;12.1 Introduction;104
15.2;12.2 Methods;105
15.3;12.3 Conclusion;105
15.4;References;107
16;Gait Analysis in Patients with Patellofemoral Disorders;109
16.1;13.1 Introduction;109
16.2;13.2 Biomechanics in Patella Femoral Disorders;110
16.3;13.3 Conclusion and Future Directions References;113
17;Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Ipsilateral Autografts;115
17.1;14.1 Introduction;115
17.2;14.2 Postoperative Restriction in Range of Motion and Loss of Strength;115
17.3;14.3 Dissection Studies in the Knee Region;116
17.4;14.4 Knee Surgery and Sensory Nerve Complications;117
17.5;14.5 Local Discomfort in the Donor- Site Region;118
17.6;14.6 Radiographic Assessments;119
17.7;14.7 Histological Examinations;120
17.8;14.8 Ultrastructural Examinations ;121
17.9;14.9 Biochemical Investigations;121
17.10;14.10 Summary Statement;123
17.11;References;123
18;Non-operative Treatment of Patellofemoral Pain: Role of Physical Therapy;127
18.1;15.1 Patellar Bracing and Taping;128
18.2;15.2 Foot Orthoses for Treatment;132
18.3;15.3 Exercise Therapy/ Physical Therapy;133
18.4;15.4 Guidelines When Rehabilitation Is Completed;138
18.5;References;138
19;Lateral Release of the Lateral Patellar Retinaculum: Literature Review for Select Patellofemoral Disorders;142
19.1;16.1 Introduction;142
19.2;16.2 Materials and Methods;143
19.3;16.3 Physical Examination;143
19.4;16.4 Surgical Options;144
19.5;16.5 Summary Statement;149
19.6;References;149
20;Medial Side Patellofemoral Anatomy: Surgical Implications in Patellofemoral Instability;151
20.1;17.1 Surgical Implications;153
20.2;References;154
21;Arthroscopic Medial Reefing in Acute Patellar Dislocation;155
21.1;18.1 Introduction;155
21.2;18.2 Clinical Results of Conservative Versus Operative Treatment: A Literature Review;156
21.3;18.3 Indications and Contraindications for Arthroscopic Medial Soft Tissue Reefing;158
21.4;18.4 Surgical Technique of Arthroscopic Medial Soft Tissue Reefing;158
21.5;18.5 Conclusion;159
21.6;References;159
22;Medial Reefing in Chronic Potential Patellar Instability;161
22.1;19.1 Introduction;161
22.2;19.2 Materials and Methods;162
22.3;19.3 Surgical Technique;162
22.4;19.4 Results;163
22.5;19.5 Discussion;163
22.6;19.6 Conclusion;165
22.7;19.7 Summary Statement;165
22.8;References;165
23;Medial Patellofemoral Ligament Reconstruction Indications and Surgical Technique;166
23.1;20.1 Historical Background;166
23.2;20.2 Indications for Medial Patellofemoral Ligament Reconstruction;168
23.3;20.3 Authors Preferred Technique;169
23.4;20.4 Postoperative Care;173
23.5;20.5 Results;173
23.6;20.6 Summary;174
23.7;References;174
24;MPFL Reconstruction: The Adductor Sling Approach;176
24.1;21.1 Indications for Medial Patellofemoral Ligament Reconstruction;176
24.2;21.2 Contraindications for MPFL Reconstruction;176
24.3;21.3 MPFL Reconstruction Adductor Sling Approach: Surgical Technique;177
24.4;21.4 Discussion;178
24.5;21.5 The Minnesota Experience;179
24.6;21.6 Conclusion References;180
25;Importance and Radiographic Identification of the Femoral Insertion in Medial Patellofemoral Ligament Reconstruction;181
25.1;References;183
26;MPTL (Medial Patellotibial Ligament) Reconstruction;184
26.1;23.1 Background;184
26.2;23.2 Anatomical Description;185
26.3;23.3 Biomechanical Consideration;185
26.4;23.4 Technique;186
26.5;23.5 Postoperative Rehabilitation Protocol;189
26.6;23.6 Results;189
26.7;23.7 Discussion;189
26.8;23.8 Summary Statements;191
26.9;References;191
27;Distal Realignment: Medialization of Tibial Tuberosity: The Elmslie- Trillat Technique;192
27.1;24.1 Introduction;192
27.2;24.2 Indications;193
27.3;24.3 Surgical Technique;193
27.4;24.4 Postoperative Treatment;196
27.5;24.5 Discussion;196
27.6;24.6 Conclusions;199
27.7;References;199
28;Bony Surgery Distal Realignment Surgery for Episodic Patellar Dislocations;201
28.1;25.1 Introduction;201
28.2;25.2 Indication;201
28.3;25.3 Surgical Technique: The Anterior Tibial Tubercle Osteotomy;202
28.4;25.4 Discussion;204
28.5;25.5 Summary;205
28.6;References;205
29;Trochlear Lengthening Osteotomy with or Without Elevation of the Lateral Trochlear Facet;207
29.1;26.1 Introduction;207
29.2;26.2 Physical Examination;208
29.3;26.3 Imaging;209
29.4;26.4 Surgery;210
29.5;26.5 Postoperative Care;212
29.6;26.6 Conclusions;212
29.7;References;212
30;Proximal Open Trochleoplasty ( Grooveplasty);214
30.1;27.1 Introduction (Stability of the Patellofemoral Joint: Passive and Active Stability);214
30.2;27.2 Trochlear Dysplasia;214
30.3;27.3 Proximal Open Trochleoplasty;215
30.4;27.4 Other Surgeries;218
30.5;27.5 Rehabilitation;221
30.6;27.6 Complications;221
30.7;27.7 Summary Statement;221
30.8;References;221
31;Deepening Trochleoplasty for Patellar Instability;222
31.1;28.1 Introduction;222
31.2;28.2 Indications;222
31.3;28.3 Contraindications;223
31.4;28.4 Techniques;223
31.5;28.5 Results;226
31.6;28.6 Discussion;229
31.7;28.7 Conclusion;229
31.8;References;229
32;Arthroscopic Deepening Trochleoplasty for Patella Instability;230
32.1;29.1 Background;230
32.2;29.2 Surgical Technique;231
32.3;29.3 Discussion;232
32.4;29.4 Summary;233
32.5;References;233
33;The Role of Limb Rotational Osteotomy in the Treatment of Patellofemoral Dysfunction;234
33.1;30.1 Importance;234
33.2;30.2 Intrinsic and Extrinsic Limb Factors;234
33.3;30.3 Conclusions;240
33.4;References;240
34;Long-Term Results After Autologous Chondrocyte Implantation in Cartilage Lesions of the Patellofemoral Joint;242
34.1;31.1 Introduction;242
34.2;31.2 Autologous Chondrocyte Implantation: Surgical Procedure and Rehabilitation;243
34.3;31.3 Long-Term Follow-Up of ACI Patients;246
34.4;References;251
35;Novel Nano-composite Multilayered Biomaterial for the Treatment of Patellofemoral Cartilage Lesions;252
35.1;32.1 Introduction;252
35.2;32.2 Scaffold;253
35.3;32.3 Surgical Procedure and Postoperative Treatment;254
35.4;32.4 Clinical Experience;255
35.5;32.5 Discussion;256
35.6;32.6 Conclusion;258
35.7;References;258
36;Isolated Patellofemoral Osteoarthritis: Natural History and Clinical Presentation;260
36.1;33.1 Introduction;260
36.2;33.2 Etiologies of PF Arthritis;260
36.3;33.3 Radiographic Analysis of Isolated Patellofemoral Arthritis ( Fig. 33.4);262
36.4;33.4 CT Arthrography;262
36.5;33.5 Differential Diagnosis: Patella Infera;263
36.6;33.6 Predisposing Factors to Patellofemoral Arthritis;263
36.7;33.7 Natural History and Treatment Implications;265
36.8;33.8 Therapeutic Consequences;265
36.9;33.9 Conclusion;267
36.10;References;267
37;The Nonoperative Treatment of Patellofemoral Arthritis;268
37.1;34.1 Activity Modification;268
37.2;34.2 Weight Control;268
37.3;34.3 Water Exercise;268
37.4;34.4 Medications;268
37.5;34.5 Nutritional Supplements;269
37.6;34.6 Knee Supports;269
37.7;34.7 Orthotics;269
37.8;34.8 Physical Therapy;269
37.9;References;270
38;Current Concepts Regarding Tibial Tubercle Osteotomy;272
38.1;35.1 Decision Making Regarding Alternatives to Tibial Tubercle Transfer;273
38.2;35.2 Pearls and Principles of Tibial Tubercle Transfer;273
38.3;35.3 Conclusions;273
38.4;References;274
39;Isolated Patellofemoral Osteoarthritis: Prosthetic Indications;275
39.1;36.1 Introduction;275
39.2;36.2 Isolated Patellofemoral Arthroplasty;275
39.3;36.3 Total Knee Arthroplasty;279
39.4;36.4 Summary;280
39.5;References;280
40;Post-operative Management of Surgeries Aimed at Correcting Patellofemoral Instability: Results of an International Surgeon Survey;282
40.1;37.1 Introduction and Justification of the Survey;282
40.2;37.2 Immobilization, Bracing, and Weight- Bearing Status;283
40.3;37.3 Range of Motion;285
40.4;37.4 Open and Closed Kinetic Chain Quadriceps Exercise;286
40.5;37.5 Conclusion;291
40.6;Appendix;291
41;Errors and Complications in Patellofemoral Surgery;292
41.1;38.1 Bony Surgery;292
41.2;38.2 Soft Tissue;296
41.3;38.3 Autologous Cartilage Transplantation;297
41.4;38.4 Patellofemoral Arthroplasty;297
41.5;38.5 Summary;299
41.6;References;299
42;Trochleoplasty for Symptomatic Trochlear Dysplasia in the Skeletally Immature Patient with Review of Fetal Anatomy;302
42.1;39.1 Surgical Procedure;303
42.2;39.2 Guidelines for Physicians;304
42.3;References;305
43;Patellofemoral Disorders in the Skeletally Immature Patients;306
43.1;40.1 Overuse Conditions of Patella;306
43.2;40.2 Patello-femoral Instability in Immature Patients;308
43.3;40.3 Patellar Fractures in Pediatric Patients;312
43.4;40.4 Chapter Summary;313
43.5;References;313
44;Dictionary;315
44.1;Abnormal Tracking;315
44.2;Apprehension Sign;315
44.3;Arthritis (Isolated Patellofemoral Arthritis);315
44.4;Chondromalacia;315
44.5;Episodic Patellar Dislocation;315
44.6;Excessive Lateral Hyperpressure Syndrome;315
44.7;Hyperlaxity;315
44.8;J Sign;315
44.9;J Tracking;316
44.10;Lateral Retinaculum;316
44.11;Lateral Retinacular Tightness;316
44.12;Malalignment of the Patellofemoral Joint;316
44.13;Medial Retinaculum;316
44.14;Objective Patellar Instability;316
44.15;Patella Alta/Infera;316
44.16;Patellofemoral Disorders Classification;316
44.17;Patellar Dysplasia;317
44.18;Patella Glide Test;317
44.19;Patellar Instability;317
44.20;Patella Tilt Test;317
44.21;Potential Patellar Instability;317
44.22;Q Angle;317
44.23;Patella Subluxation;317
44.24;Tibial Tubercle Trochlear Groove Distance ( TT/ TG);317
44.25;Trochlear Dysplasia;317
45;Index;318
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