Main description:

This excellently illustrated book adopts an evidence-based approach to evaluate the efficacy of different techniques for the imaging and treatment of patellofemoral pain, instability, and arthritis. The aim is to equip practitioners with an informative guide that will help them to manage disorders of the patellofemoral joint by casting light on the many issues on which a consensus has been lacking. The opening chapters supply essential background information and explain the role of various imaging modalities, including radiography, CT, MRI, and bone scan. The various conservative and surgical treatment approaches for each of the three presentations - pain, instability, and arthritis - are then described and assessed in depth, with precise guidance on indications and technique. 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 each imaging and treatment method. The new edition has been thoroughly updated, with inclusion of additional chapters, in order to present the latest knowledge on biomechanics, diagnosis, surgical techniques, and rehabilitation.

Contents:

Classification and general considerations.- Syndromes genetics.- Detecting and addressing psychological factors.- Imaging Analysis of Patella Instability Factors.- MRI of the Patellofemoral Articular Cartilage.- Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders move to imaging.- The Role of Tibial and Femoral Rotational Torsion abnormalities in the Treatment of Patellofemoral Dysfunction.- Pathophysiology of Anterior Knee Pain.- Patellofemoral Pain Syndrome.- Non operative Treatment of PF pain.- Is there a surgical Treatment of PF pain.- Instability Factors Principals and Secondary for Instability.- Influence of Risk Factors in the Natural History.- Clinical Symptoms and Examination of Acute and Chronic Patellar Dislocations.- First Time Dislocation: How to deal with it.- Medial Side Patellofemoral Anatomy: Surgical Implications in Patellofemoral Instability.- Is there any place for medial reefing in acture PF dislocation which technical procedure?.- Medial Patellofemoral Ligament Reconstruction Indications and Surgical Technique.- MPTL (Medial Patellotibial Ligament) Reconstruction.- Tibial Tubercle Osteotomies - Indications and results.- Tibial Tubercle Osteotomies - Techniques - AMZ.- Tibial Tubercle Osteotomies - Techniques - Distalization.- Tibial Tubercle Osteotomies - Techniques - Medialization.- Tibial Tubercle Osteotomies Complications.- Trochleoplasty Indications and results.- Trochleoplasty Techniques: Arthroscopy.- Trochleoplasty Techniques: Deepening Bereiter.- Trochleoplasty Techniques: Deepening Lyon.- Trochleoplasty Techniques: Elevating/lateral.- Trochleoplasty Techniques: Recession Osteotomy.- Trochleoplasty Techniques: Complications.- Lateral Release of the Lateral Patellar Retunaculum.- Lateral Retinaculum Lengthening.- Lateral retinaculum reconstruction.- Surgical Rehabilitation for select individual procedures.- Designing a rehabilitation programme for PFJ rehabilitation.- Complex primary cases.- Obligatory dislocators in flexion.- Is there an indication for Patella osteotomies.- Is there an indication for correcting a valgus knee.- Isolated Patellofemoral Osteoarthritis: Natural History and clinical Presentation.- The Non-operative Treatment of Patellofemoral Arthritis.- Techniques for cartilage restoration in pf joint.- Isolated Patellofemoral unipolar pf cartilage lesions when to intervene.- Partial Lateral Facetectomy.- Isolated Patellofemoral Osteoarthritis: Prosthetic Indications.- Patellofemoral disorders in skeletally immature patients.- Specific procedures for pediatric dislocation.- Mpfl techniques and constraints: what does this mean?.- Patellar tendon shortening.- Tibial tubercule procedure / old Osgood Schlatter.- Femoral and tibial osteotomies.- Epiphsiodesis : we already have limb lengthening.