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Patellofemoral Arthritis

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Patellofemoral Pain and Instability

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Abstract

Patellofemoral arthritis is clinically challenging due to the complex and unique morphology of the PF joint, the heterogeneity of the articular surface among patients, and the high shear stresses across the joint. The pathogenesis of PF arthritis can generally be attributed to mechanical causes that overload the cartilage and include trauma, patellar instability, malalignment, and dysplasia. Chondral lesions of the patellofemoral compartment are common, and patients with symptomatic cartilage lesions of the patella and/or trochlea refractory to nonoperative treatment may be candidates for surgery. Recent advancements in cartilage restoration techniques and PF arthroplasty implants have resulted in improved clinical outcomes, thus expanding the indications of surgical treatment for patients with PF chondral defects and osteoarthritis.

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Authors and Affiliations

  1. Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA

    Dean Wang, Sabrina M. Strickland & Beth E. Shubin Stein

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Beth E. Shubin Stein

  2. Hospital for Special Surgery, New York, NY, USA

    Sabrina M. Strickland

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Wang, D., Strickland, S.M., Shubin Stein, B.E. (2019). Patellofemoral Arthritis. In: Shubin Stein, B., Strickland, S. (eds) Patellofemoral Pain and Instability. Springer, Cham. https://doi.org/10.1007/978-3-319-97640-2_4

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  • DOI: https://doi.org/10.1007/978-3-319-97640-2_4

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