Format

Send to

Choose Destination
Arthrosc Tech. 2014 Oct 20;3(5):e633-8. doi: 10.1016/j.eats.2014.07.004. eCollection 2014 Oct.

Diagnosis and treatment of lateral patellar compression syndrome.

Author information

1
Department of Osteopathic Surgical Specialties, Michigan State University, East Lansing, Michigan, U.S.A. ; Department of Orthopaedic Surgery, McLaren Greater Lansing Hospital, Lansing, Michigan, U.S.A.
2
Mid-Michigan Orthopaedic Institute, East Lansing, Michigan, U.S.A. ; Department of Orthopaedic Surgery, McLaren Greater Lansing Hospital, Lansing, Michigan, U.S.A.

Abstract

Chronic anterior knee pain with a stable patella is often associated with overload and increased pressure on the lateral facet due to pathologic lateral soft-tissue restraints. "Lateral pressure in flexion" is a term describing the pathologic process of increasing contact pressure over the lateral patellar facet as knee flexion progresses. This report describes a surgical technique developed in response to lateral pressure in flexion and the shortcomings of traditional arthroscopic lateral release procedures. The technique is performed open with the knee in flexion, and the lateral release is repaired with a rotation flap of iliotibial band to close the defect and prevent patellar subluxation. The technique effectively decreases lateral patellar pressure and centers the patella correctly in the trochlear groove with minimal risk of iatrogenic patellar instability.

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center