BACKGROUND Lateral Patella dislocations are common injuries seen in the active and young adult populations. Our study focus was to evaluate medial patellofemoral ligament (MPFL) injury patterns and associated knee pathology using Magnetic Resonance Imaging studies. METHODS MRI studies taken at one imaging site between January, 2007 to January, 2008 with the final diagnosis of patella dislocat...

Osteochondral fractures of the patella are relatively common pediatric knee injuries, often missed during initial evaluation, and almost always associated with acute dislocations. We report case an adolescent patient a very large osteochondral fracture involving whole medial patellar facet without concomitant dislocation patella. A 16-year-old presented to emergency pain swelling in left after ...

BACKGROUND Multiple epiphyseal dysplasia (MED) is one of the more common generalised skeletal dysplasias. Due to its clinical heterogeneity diagnosis may be difficult. Mutations of at least six separate genes can cause MED. Joint deformities, joint pain and gait disorders are common symptoms. CASE PRESENTATION We report on a 27-year-old male patient suffering from clinical symptoms of autosom...

PURPOSE The purpose of this study was to evaluate the effect of surgical reinsertion of the medial patellofemoral ligament (MPFL) to the adductor tubercle compared with conservative treatment in patients with primary dislocation of the patella. METHODS Eighty patients with primary patella dislocation were included in the study. Delayed arthroscopy (mean, 50 days after injury) was performed to...

Patella alta is common in cerebral palsy, especially in patients with crouch gait. Correction of patella alta has been advocated in the treatment of crouch, however the appropriate degree of correction and the implications for knee extensor function remain unclear. Therefore, the goal of this study was to assess the impact of patellar position on quadriceps and patellar tendon forces during nor...

BACKGROUND Various techniques for quadriceps tendon repair have been described with biomechanical studies suggesting greater failure threshold with longitudinally placed drill holes. 1 The current gold standard for repair uses 3–4 sutures 2 passed through parallel longitudinal transpatel-lar bone tunnels. We describe a simple and reproducible technique Figure 1 Acufex ® Director™ Drill Guide po...

Complications of patellar dislocation include osteochondral injury of the lateral femoral condyle and patella. Most cases of osteochondral injury occur in the anterior region, which is the non-weight-bearing portion of the lateral femoral condyle. We describe two patients with osteochondral injury of the weight-bearing surface of the lateral femoral condyle associated with lateral dislocation o...