Arthroscopic Patellar Lateral Facetectomy
Isolated patellofemoral osteoarthritis is relatively prevalent, with the lateral facet of the patella being the most commonly affected portion. This pathology can be a result of a patellar maltracking syndrome, patella instability, or idiopathic degenerative changes. A thorough diagnostic work-up wi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628716301785 |
| _version_ | 1819065691909652480 |
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| author | Marcio B. Ferrari, M.D. George Sanchez, B.S. Jorge Chahla, M.D. Gilbert Moatshe, M.D. Robert F. LaPrade, M.D., Ph.D. |
| author_facet | Marcio B. Ferrari, M.D. George Sanchez, B.S. Jorge Chahla, M.D. Gilbert Moatshe, M.D. Robert F. LaPrade, M.D., Ph.D. |
| author_sort | Marcio B. Ferrari, M.D. |
| collection | DOAJ |
| description | Isolated patellofemoral osteoarthritis is relatively prevalent, with the lateral facet of the patella being the most commonly affected portion. This pathology can be a result of a patellar maltracking syndrome, patella instability, or idiopathic degenerative changes. A thorough diagnostic work-up with a physical examination and imaging studies are mandatory for a proper diagnosis and to rule out other causes of patellofemoral knee pain. These patients are often treated nonoperatively with exercises for patella mobility, intra-articular injections, braces, patellar tracking, quadriceps balance and strength, and activity modification. Patients with lateral patellar pain that is refractory to nonoperative management, and who have a clear bony deformity on the patella overriding the lateral aspect of the trochlea, can benefit from surgical intervention. We recommend an arthroscopic lateral patellar facetectomy because the joint can be dynamically assessed, treated, and re-evaluated intraoperatively to ensure that normal bony contact has been restored. |
| first_indexed | 2024-12-21T15:50:30Z |
| format | Article |
| id | doaj.art-3c2167e767aa4e0d8fa4b800f294adbd |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-21T15:50:30Z |
| publishDate | 2017-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-3c2167e767aa4e0d8fa4b800f294adbd2022-12-21T18:58:15ZengElsevierArthroscopy Techniques2212-62872017-04-0162e357e362Arthroscopic Patellar Lateral FacetectomyMarcio B. Ferrari, M.D.0George Sanchez, B.S.1Jorge Chahla, M.D.2Gilbert Moatshe, M.D.3Robert F. LaPrade, M.D., Ph.D.4Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Robert F. LaPrade, M.D., Ph.D., Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 1000, Vail, CO 81657, U.S.A.Isolated patellofemoral osteoarthritis is relatively prevalent, with the lateral facet of the patella being the most commonly affected portion. This pathology can be a result of a patellar maltracking syndrome, patella instability, or idiopathic degenerative changes. A thorough diagnostic work-up with a physical examination and imaging studies are mandatory for a proper diagnosis and to rule out other causes of patellofemoral knee pain. These patients are often treated nonoperatively with exercises for patella mobility, intra-articular injections, braces, patellar tracking, quadriceps balance and strength, and activity modification. Patients with lateral patellar pain that is refractory to nonoperative management, and who have a clear bony deformity on the patella overriding the lateral aspect of the trochlea, can benefit from surgical intervention. We recommend an arthroscopic lateral patellar facetectomy because the joint can be dynamically assessed, treated, and re-evaluated intraoperatively to ensure that normal bony contact has been restored.http://www.sciencedirect.com/science/article/pii/S2212628716301785 |
| spellingShingle | Marcio B. Ferrari, M.D. George Sanchez, B.S. Jorge Chahla, M.D. Gilbert Moatshe, M.D. Robert F. LaPrade, M.D., Ph.D. Arthroscopic Patellar Lateral Facetectomy Arthroscopy Techniques |
| title | Arthroscopic Patellar Lateral Facetectomy |
| title_full | Arthroscopic Patellar Lateral Facetectomy |
| title_fullStr | Arthroscopic Patellar Lateral Facetectomy |
| title_full_unstemmed | Arthroscopic Patellar Lateral Facetectomy |
| title_short | Arthroscopic Patellar Lateral Facetectomy |
| title_sort | arthroscopic patellar lateral facetectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2212628716301785 |
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