Extensor mechanism injuries are unusual and require early operative intervention to optimally restore extensor mechanism continuity, strength, and function. Quadriceps tendon ruptures typically occur in patients older than 40 years and can be associated with degenerative tendon changes, obesity, systemic illnesses, and trauma. Patellar tendon ruptures are usually seen in younger patients as a r...

PURPOSE To correlate patellar reflex inhibition with sympathetic knee joint effusion. METHODS 65 women and 40 men aged 45 to 75 (mean, 65) years underwent hip surgery. The surgery entailed dynamic hip screw fixation using the lateral approach with reflection of the vastus lateralis for pertrochantric fractures (n = 49), and hip hemiarthroplasty or total hip replacement using the Watson-Jones ...

Patellar ligament inflammation has been reported to follow tibial plateau leveling osteotomy (TPLO) procedures. While self-limiting, severe cases can result in marked lameness and prolonged recovery. Based on favorable results for shock wave therapy (SWT) of tendon and ligament injuries in other species, a clinical trial was conducted in dogs to determine if SWT would have a beneficial effect o...

OBJECTIVE To make a comparative analysis on three femoropatellar radiographic parameters, between knees with chronic failure of the anterior cruciate ligament (ACL) and normal knees. METHODS Thirty volunteer patients with a diagnosis of unilateral isolated chronic ACL injury for more than one year and a normal contralateral knee were selected. Digital radiographs were produced for all the pat...

Twenty-five knees with symptomatic lateral patellar instability after total knee arthroplasty (TKA) were treated by operative realignment. Causes of instability include errors in surgical technique, quadriceps imbalance, and trauma. Fourteen knees had proximal realignment, nine had combined proximal and distal realignment, and two had component revision. At an average follow-up period of 50 mon...

Patellar luxation is the result of progressive structural abnormalities in the soft and/or skeletal tissues of the dog’s pelvic limbs. There is an alteration of the patella-trochlear groove interaction with negative effects on the stifle stability and extensor mechanism integrity, on the trochlear articular cartilage nutrition and the adequate trochlear depth and length development and maintena...

Dear Sir, The question whether Osgood-Schlatter disease (OSD) exists in the dog was raised in your journal four years ago (1). D. von Pfeil et al. concluded that the term OSD was not appropriate to use for dogs, as traction injuries to the tibial tuberosity were not found to cause the pathognomonic calcified particles within the distal aspect of the patellar ligament in this species (1). Subseq...

Background: There are a number of different factors that are thought to play a role in patellar instability, including injuries to the medial patellofemoral ligament (MPFL), trochlear dysplasia, patella alta, and an increased tibial tuberosity-trochlear groove (TT-TG) distance. Objective: To use MRI to assess injury patterns to the MPFL, trochlear dysplasia, patellar height, and TT-TG distance ...

The objective of this study was to explore the clinical effect of medial and lateral retinaculum plasty for congenital patellar dislocation due to small patella syndrome. Twelve patients with congenital patellar dislocation due to small patella syndrome treated at the authors' hospital between January 2005 and February 2010 were enrolled in the study. The study group comprised 4 men (4 knees) a...

INTRODUCTION Cartilage lesion with patellar malalignment may be correlated with pain. Situations in which patients with recurrent patellar dislocation are painless between episodes of luxation can be approached with considerable curiosity. We evaluated the distribution of substance-P and S-100 protein expression in soft tissue of the knee in children with recurrent patellar dislocation, in orde...