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Pathogenesis of Anterior Knee Pain and Patellar Instability in the Active Young

What Have We Learned from Realignment Surgery?

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Anterior Knee Pain and Patellar Instability

Conclusions

This study is not intended to advocate for a particular surgical technique, but it does provide insight into improving our understanding of the pathophysiology of anterior knee pain syndrome. Our objectives were: to identify a relationship, or lack of one, between the presence of PFM and the presence of anterior knee pain and/or patellar instability; to analyze the long-term response of VMO muscle fibers to increased resting length; and to determine the incidence of patellofemoral arthrosis after IPR surgery. Our findings indicate (1) that not all PFM knees show symptoms; that is, PFM is not a sufficient condition for the onset of symptoms, at least in postoperative patients; (2) that the advancement of VMO has no deleterious effects on VMO; and (3) that IPR does not predispose to retropatellar arthrosis.

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Author information

Authors and Affiliations

  1. Department of Orthopaedics, Hospital Arnau de Vilanova, Valencia, Spain

    Vicente Sanchis-Alfonso MD, PhD (Member of the International Patellofemoral Study Group)

  2. Department of Neurophysiology, Hospital Arnau de Vilanova, Valencia, Spain

    Fermín Ordoño MD, PhD

  3. Department of Orthopaedics, Hospital Lluís Alcanyís, Játiva, Valencia, Spain

    Alfredo Subías-López MD

  4. Department of Radiology, Hospital Arnau de Vilanova, Valencia, Spain

    Carmen Monserrat

Authors
  1. Vicente Sanchis-Alfonso MD, PhD
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  2. Fermín Ordoño MD, PhD
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  3. Alfredo Subías-López MD
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  4. Carmen Monserrat
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Hospital Arnau de Vilanova, Valencia, Spain

    Vicente Sanchis-Alfonso MD, PhD (Member of the International Patellofemoral Study Group/Member of the ACL Study Group) (Member of the International Patellofemoral Study Group/Member of the ACL Study Group)

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© 2006 Springer-Verlag London Limited

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Sanchis-Alfonso, V., Ordoño, F., Subías-López, A., Monserrat, C. (2006). Pathogenesis of Anterior Knee Pain and Patellar Instability in the Active Young. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, London. https://doi.org/10.1007/1-84628-143-1_2

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  • DOI: https://doi.org/10.1007/1-84628-143-1_2

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-003-0

  • Online ISBN: 978-1-84628-143-3

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