STUDY DESIGN Cross-sectional. OBJECTIVES To determine if females with anterior knee pain are more likely to demonstrate hip abduction or external rotation weakness than a similar, asymptomatic, age-matched control group. BACKGROUND Diminished hip strength has been implicated as being contributory to lower-extremity malalignment and patellofemoral pain. The identification of reliable and con...

A varus-producing distal femoral osteotomy (DFO) is an effective technique for the treatment of lateral patellar instability (LPI) in patients with concomitant moderate to severe valgus malalignment. Patellar maltracking and subluxation are corrected via neutralization of some of the laterally directed forces on the patella due to the valgus deformity. This can be accomplished with a distal fem...

Many patients with patellofemoral pain have multiple knee disorders, such as chondral defects, malalignment, and ligament insufficiency. I reviewed a treatment approach that included autologous chondrocyte implantation and biomechanical altering procedures to reduce impairment and symptoms in patients with patellofemoral lesions and biomechanical disorders. Thirty-eight patients (39 knees; mean...

The primary indications for performing a medial closing wedge distal femoral osteotomy are valgus knee malalignment, lateral compartment overload, meniscus insufficiency, and/or osteoarthritis or cartilage damage. Without correction of this there is an increased risk chondral damage in the and patellofemoral knee. optimal candidates procedure young, active individuals with moderate to severe ar...

STUDY DESIGN Controlled laboratory study using a cross-sectional design. OBJECTIVES To compare patellofemoral joint kinematics, femoral rotation, and patella rotation between females with patellofemoral pain (PFP) and pain-free controls using weight-bearing kinematic magnetic resonance imaging. BACKGROUND Recently, it has been recognized that patellofemoral malalignment may be the result of...

Background Although excellent long-term clinical results have been reported for the total knee arthroplasty (TKA), 37% of patients have limited functional improvement one year after the surgery [1]. Patients with a clinical presentation of anterior knee pain could be diagnosed with patellofemoral pain syndrome (PFPS). Modified clinical classification of PFPS patients includes two main groups: w...

We present a rational, scientific, low-risk approach to patellofemoral pain (anterior knee pain) based on an understanding of tissue homeostasis. Loss of tissue homeostasis from overload and/or injury produces pain. Bone overload and synovial inflammation are common sources of such pain. Chondromalacia and malalignment are findings that almost always do not need to be "corrected" to relieve pai...