Diagnosis and Treatment of Lateral Patellar Compression Syndrome

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Presentation transcript:

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: 10.1016/j.eats.2014.07.004 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

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: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

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: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

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: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

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: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

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: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 6 Right knee after lateral release, anteromedial tibial tubercle transfer, and repair of the lateral retinaculum. Arthroscopy Techniques 2014 3, e633-e638DOI: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

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: (10.1016/j.eats.2014.07.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions