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Chondromalacia patella

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https://www.readbyqxmd.com/read/27911285/the-relation-between-chondromalacia-patella-and-meniscal-tear-and-the-sulcus-angle-trochlear-depth-ratio-as-a-powerful-predictor
#1
Hatice Resorlu, Coskun Zateri, Gurdal Nusran, Ferdi Goksel, Nilufer Aylanc
PURPOSE: To investigate the relation between chondromalacia patella and the sulcus angle/trochlear depth ratio as a marker of trochlear morphology. In addition, we also planned to show the relationship between meniscus damage, subcutaneous adipose tissue thickness as a marker of obesity, patellar tilt angle and chondromalacia patella. METHODS: Patients with trauma, rheumatologic disease, a history of knee surgery and patellar variations such as patella alba and patella baja were excluded...
November 25, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27723501/association-between-trochlear-morphology-and-chondromalacia-patella-an-mri-study
#2
Semra Duran, Mehtap Cavusoglu, Onur Kocadal, Bulent Sakman
This study aimed to compare trochlear morphology seen in magnetic resonance imaging between patients with chondromalacia patella and age-matched control patients without cartilage lesion. Trochlear morphology was evaluated using the lateral trochlear inclination, medial trochlear inclination, sulcus angle and trochlear angle on the axial magnetic resonance images. Consequently, an association between abnormal trochlear morphology and chondromalacia patella was identified in women. In particular, women with flattened lateral trochlea are at an increased risk of patellar cartilage structural damage...
September 28, 2016: Clinical Imaging
https://www.readbyqxmd.com/read/27625998/comparison-of-indirect-mr-arthrography-with-conventional-mri-in-the-diagnosis-of-knee-pathologies-in-patients-with-knee-pain
#3
Ali Babaei Jandaghi, Mohsen Mardani-Kivi, Ahmadreza Mirbolook, Mohammad Kazem Emami-Meybodi, Solmaz Mohammadzadeh, Maral Farahmand
BACKGROUND: Knee pain is a common problem in the general population. In order to determine the extent of the injury and the appropriate treatment, MRI provides the most accurate imaging method. This may be done through conventional MRI techniques or by injecting a contrast material (MR arthrography). OBJECTIVES: The purpose of this study was to compare the diagnostic value of these two methods. PATIENTS AND METHODS: The study involved the diagnostic evaluation on 60 patients with knee pain who received treatment over the course of a one-year period...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27329395/a-new-mri-grading-system-for-chondromalacia-patellae
#4
Ali Özgen, Neslihan Taşdelen, Zeynep Fırat
BACKGROUND: Chondromalacia patellae is a very common disorder. Although magnetic resonance imaging (MRI) is widely used to investigate patellar cartilage lesions, there is no descriptive MRI-based grading system for chondromalacia patellae. PURPOSE: To propose a new MRI grading system for chondromalacia patellae with corresponding high resolution images which might be useful in precisely reporting and comparing knee examinations in routine daily practice and used in predicting natural course and clinical outcome of the patellar cartilage lesions...
June 20, 2016: Acta Radiologica
https://www.readbyqxmd.com/read/27034088/sagittal-plane-tilting-deformity-of-the-patellofemoral-joint-a-new-concept-in-patients-with-chondromalacia-patella
#5
Ertugrul Aksahin, Cem Nuri Aktekin, Onur Kocadal, Semra Duran, Cüneyd Gunay, Defne Kaya, Onur Hapa, Murad Pepe
PURPOSE: The aims of this study were to evaluate sagittal plane alignment in patients with chondromalacia patella via magnetic resonance imaging (MRI), analyse the relationships between the location of the patellar cartilaginous lesions and sagittal alignment and finally investigate the relationships between the sagittal plane malalignment and patellofemoral loadings using by finite element analysis. METHODS: Fifty-one patients who were diagnosed with isolated modified Outerbridge grade 3-4 patellar chondromalacia based on MRI evaluation and 51 control subjects were evaluated...
March 31, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26894640/suprapatellar-versus-infrapatellar-tibial-nail-insertion-a-prospective-randomized-control-pilot-study
#6
Daniel S Chan, Rafael Serrano-Riera, Rebecca Griffing, Barbara Steverson, Anthony Infante, David Watson, H Claude Sagi, Roy W Sanders
PURPOSE: The purpose of this OTA-approved pilot study was to compare the clinical and functional outcomes of the knee joint after infrapatellar (IP) versus suprapatellar (SP) tibial nail insertion. DESIGN: Prospective, randomized. SETTING: Level I trauma center. METHODS: After institutional review board approval, skeletally mature patients with OTA 42 tibial shaft fractures were randomized into either an IP or SP nail insertion group after informed consent was obtained...
March 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26834209/patellofemoral-pain
#7
Kay M Crossley, Michael J Callaghan, Robbart van Linschoten
Patellofemoral pain refers to pain behind or around the patella (also known as patellofemoral pain syndrome, anterior knee pain, runner's knee, and, formerly, chondromalacia patellae). Patellofemoral pain is common, accounting for 11-17% of all knee pain presentations to general practice.(1 2) While it typically occurs in physically active people aged <40 years, it also affects people of all activity levels and ages.(1 2) Patellofemoral pain can be diagnosed in the clinic, and evidence based treatments can reduce pain and improve function, allowing patients to maintain a physically active lifestyle...
February 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26779547/the-meniscus-deficient-knee-biomechanics-evaluation-and-treatment-options
#8
Allison J Rao, Brandon J Erickson, Gregory L Cvetanovich, Adam B Yanke, Bernard R Bach, Brian J Cole
Meniscal tears are the most common knee injury, and partial meniscectomies are the most common orthopaedic surgical procedure. The injured meniscus has an impaired ability to distribute load and resist tibial translation. Partial or complete loss of the meniscus promotes early development of chondromalacia and osteoarthritis. The primary goal of treatment for meniscus-deficient knees is to provide symptomatic relief, ideally to delay advanced joint space narrowing, and ultimately, joint replacement. Surgical treatments, including meniscal allograft transplantation (MAT), high tibial osteotomy (HTO), and distal femoral osteotomy (DFO), are options that attempt to decrease the loads on the articular cartilage of the meniscus-deficient compartment by replacing meniscal tissue or altering joint alignment...
October 2015: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26618663/supra-versus-infra-patellar-tibial-nail-insertion-a-prospective-randomized-control-pilot-study
#9
Daniel S Chan, Rafael Serrano, Rebecca Griffing, Barbara Steverson, Anthony Infante, David Watson, H Claude Sagi, Roy W Sanders
PURPOSE: The purpose of this OTA approved pilot study was to compare the clinical and functional outcomes of the knee joint after infra - versus supra patellar tibial nail insertion DESIGN:: Prospective, randomized, OTA sponsored, Level I study. SETTING: Level I trauma center METHODS:: After IRB approval, skeletally mature patients with OTA 42 tibial shaft fractures were randomized into either an infra-patellar (IP) or suprapatellar (SP) nail insertion group after informed consent was obtained...
November 25, 2015: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26166427/incidence-and-risk-factors-for-chronic-anterior-knee-pain
#10
Nicholas Kusnezov, Nathaniel Watts, Philip J Belmont, Justin D Orr, Brian Waterman
Chronic anterior knee pain is a common clinical entity, more so in the active individual. The incidence and risk factors, however remain unexplored. We investigated the correlation of demographic and occupational risk factors as well as the incidence of chronic anterior knee pain in an active military population. We performed a retrospective review of all U. S. Military active duty service members with the diagnosis of chondromalacia patellae, representative of the clinical syndrome of chronic anterior knee pain, between 2006 and 2012 using the Defense Medical Epidemiology Database...
April 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/26075143/demographic-and-epidemiological-trends-in-patellofemoral-pain
#11
Neal R Glaviano, Michelle Kew, Joseph M Hart, Susan Saliba
BACKGROUND: Understanding the demographics of patellofemoral pain is important to determine the best practices in diagnosis and treatment of this difficult pathology. The occurrence of patellofemoral pain has been reported from isolated sports medicine clinics and from within the military, but its incidence has never been examined in the general population within the United States. PURPOSE: The purpose of this study was to examine the reported occurrence of patellofemoral pain for those individuals seeking medical care and to compare that to all other pathologies that result in anterior knee pain, such as tendinopathies, patella subluxation, osteoarthritis, or meniscal and bursal conditions...
June 2015: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/26055032/selective-patellar-resurfacing-a-literature-review
#12
REVIEW
Casey R Antholz, Jeffrey J Cherian, Randa K Elmallah, Julio J Jauregui, Todd P Pierce, Micael A Mont
Whether to resurface the patella during total knee arthroplasty (TKA) remains a controversial topic among orthopaedic surgeons, and we are still no closer to identifying which technique provides the best outcomes. Advocates for patellar resurfacing have adopted this technique in order to avoid the potential for post-operative anterior knee pain that may be associated with the need for future reoperations. However, reports have indicated that patellar resurfacing may be associated with increased complications such as patellar implant loosening, fracture, osteonecrosis, tendon injury, wear, and instability...
May 2015: Surgical Technology International
https://www.readbyqxmd.com/read/25330595/contribution-to-the-study-of-the-initial-stage-of-cartilage-degeneration
#13
P Ficat
No abstract text is available yet for this article.
December 1975: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/25112086/-efficacy-observation-on-chrondromalacia-patellae-treated-with-fire-needling-technique-at-high-stress-points
#14
RANDOMIZED CONTROLLED TRIAL
Jie Huang, Li Li, Bi-Dan Lou, Chao-Jian Tan, Zhi Liu, Yong Ye, Ai Huang, Xia Li, Wei Zhang
OBJECTIVE: To compare the clinical efficacy differences between fire needling technique of filiform needle at high stress points and regular acupuncture on chrondromalacia patellae so as to provide the better therapy for the treatment of this disease. METHODS: Sixty cases of chrondromalacia patellae were randomized into a fire needling group (28 cases) and a routine acupuncture group (32 cases). In the fire needling group, 5 to 6 high stress points were localized according to the symptoms, palpation and imaging condition and were stimulated with fire needling technique of filiform needle...
June 2014: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/25100644/outcome-predictors-for-conservative-patellofemoral-pain-management-a-systematic-review-and-meta-analysis
#15
REVIEW
Simon Lack, Christian Barton, Bill Vicenzino, Dylan Morrissey
BACKGROUND: Patellofemoral pain (PFP) is highly prevalent within both sporting and recreationally active populations. Multiple treatment approaches have been advocated for the management of PFP, attempting to address both intrinsic and extrinsic factors thought to contribute to the development and persistence of pain. A number of predictors of treatment success have been proposed, and evaluated, for directing intervention choice. OBJECTIVE: Our aim was to systematically review the literature that identifies outcome predictors of specific conservative interventions in the management of PFP, including quality of the current evidence, to guide clinical practice and future studies investigating outcome predictors within this population...
December 2014: Sports Medicine
https://www.readbyqxmd.com/read/25082463/medial-retinacular-flap-advancement-and-arthroscopic-lateral-release-for-symptomatic-chronic-patellar-lateral-subluxation-with-tilting
#16
Chian-Her Lee, Chia-Chun Wu, Ru-Yu Pan, Hsien-Tsung Lu, Hsain-Chung Shen
PURPOSE: The purpose of this study was to investigate outcomes of surgical treatment in patients with symptomatic chronic patellar lateral subluxation with tilting. METHODS: Thirty-two patients (38 knees) underwent arthroscopic lateral release and mini-open advancement of medial retinacular flap for the treatment of symptomatic chronic patellar lateral subluxation with tilting with a mean follow-up of 52.0±11.4 months. The mean age at surgery was 24.7±8.8 years, and the duration of symptoms was 4...
October 2014: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/25046413/semiextended-intramedullary-nailing-of-the-tibia-using-a-suprapatellar-approach-radiographic-results-and-clinical-outcomes-at-a-minimum-of-12-months-follow-up
#17
Roy W Sanders, Thomas G DiPasquale, Charles J Jordan, John A Arrington, H Claude Sagi
OBJECTIVE: To evaluate the clinical and radiographic results associated with the use of a percutaneous suprapatellar (SP) portal and accompanying instrumentation for tibial intramedullary nail (IMN) insertion using a semiextended approach. DESIGN: Prospective, nonrandomized, nonconsecutive study. SETTING: Level 1 trauma center. PATIENTS AND METHODS: From June 2007 to January 2011, 56 fractures (55 patients) underwent intramedullary nailing of a tibia fracture with a semiextended approach through a SP portal...
August 2014: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/25026604/chondromalacia-patellae
#18
H M Gordon
Chondromalacia patellae is one of the most frequently encountered causes of knee pain in young people. The word chondromalacia is derived from the Greek words, chrondros, meaning cartilage and malakia, meaning softening. Hence chondromalacia patellae is a softening of the articular cartilage on the posterior surface of the patella. It may eventually lead to fibrillation, fissuring and erosion.
September 1977: Australian Journal of Physiotherapy
https://www.readbyqxmd.com/read/25025219/the-management-of-chondromalacia-patellae-a-long-term-solution
#19
J McCONNELL
Patellofemoral pain syndrome can be a difficult condition to manage effectively. The success rate of most treatment regimes has been poor and in the long term the condition frequently recurs. The author has developed a treatment programme which has a ninety-six percent success rate. Long term follow up of patients, after twelve months demonstrated that all patients reviewed have remained pain free. The programme involves two major components: a thorough understanding of the mechanics of the patellofemoral joint so that an adequate assessment of the patient's lower limb can be made, and context specific training of certain muscles which contribute to patellar alignment...
1986: Australian Journal of Physiotherapy
https://www.readbyqxmd.com/read/24993408/imaging-of-the-patellofemoral-joint
#20
REVIEW
Stephen Thomas, David Rupiper, G Scott Stacy
The patellofemoral (PF) joint is a complex articulation, with interplay between the osseous and soft tissue structures to maintain the balance between knee mobility and stability. Disorders of the PF joint can be a source of anterior knee pain (AKP). In this article, radiographic and magnetic resonance imaging of the PF joint are reviewed, including normal anatomy, imaging techniques, and imaging-based measurements. Common imaging findings associated with AKP are reviewed, including symptomatic normal variants, tendinopathy, apophysitis, osteoarthritis, chondromalacia patella, trochlear dysplasia, excessive lateralization of tibial tuberosity, patellar maltracking, patellar dislocation and fractures, anterior bursitis, Morel-Lavallée effusions, and fat pad edema...
July 2014: Clinics in Sports Medicine
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