Abstract
The primary soft tissue structures involved in patellofemoral disorders include the medial patellofemoral ligament (MPFL), the lateral patellar retinaculum, and the quadriceps muscle, specifically the vastus medialis oblique (VMO). The osseous anatomy of the trochlea, the relative position of the tibial tubercle, and the rotatory orientation of the tibia and femur are also important to proper function. In formulating a surgical approach to patellofemoral disorders, it is essential to thoroughly correlate the radiographic findings to the patient’s history and physical examination and to address all the involved anatomic structures. A combination of MPFL reconstruction, lateral retinacular release, tibial tubercle osteotomy, and/or trochleaplasty, tailored to each individual patient’s situation and coupled with proper physical therapy, offers a good chance of successful outcomes for this challenging problem.
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Starman, J.S., Crow, A.J., Diduch, D.R. (2015). Patellofemoral Disorders. In: Brockmeier, S. (eds) MRI-Arthroscopy Correlations. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2645-9_9
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DOI: https://doi.org/10.1007/978-1-4939-2645-9_9
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