Despite numerous studies, a lack of consensus still exists over many aspects of patellofemoral pain, instability, and arthritis. This book adopts an evidence-based approach to assess each of these topics in depth. The book reviews general features of clinical examination and global evaluation techniques including the use of different imaging methods, e.g. x-rays, CT, MRI, stress x-rays, and bone scan. Various conservative and surgical treatment approaches for each of the three presentations - pain, instability, and arthritis - are then explained and assessed. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for the efficacy of each imaging and treatment method. It is hoped that this book will serve as an informative guide for the practitioner when confronted with disorders of the patellofemoral joint.

1;Foreword;52;Preface;63;Contents;84;Pathophysiology of Anterior Knee Pain;124.1;1.1 Introduction;124.2;1.2 Background: Chondromalacia Patellae, Patellofemoral Malalignment Tissue Homeostasis Theory;124.3;1.3 Overload in the Genesis of Anterior Knee Pain. Posterior Knee Pain in Patellofemoral Disorders. Kinetic and Kinematic Analysis Help to Improve Understanding;144.4;1.4 Critical Analysis of Realignment Surgery, What Have We Learned? In Criticism of PFM Concept. Is PFM Crucial for the Genesis of Anterior Knee Pain?;154.5;1.5 Neuroanatomical Bases for Anterior Knee Pain in the Young Patient: " Neural Model";164.6;1.6 Which is the Basic Cause of the Disease? Role of Ischemia in the Genesis of Anterior Knee Pain. " Loss of Vascular Homeostasis";214.7;1.7 Author's Proposed Anterior Knee Pain Pathophysiology ( See Fig. 1.9);234.8;1.8 Clinical Relevance;244.9;1.9 Conclusions;254.10;1.10 Summary;254.11;References;255;Pathophysiology of Lateral Patellar Dislocation;285.1;2.1 Introduction;285.2;2.2 Soft Tissue Abnormalities;295.3;2.3 Bone Abnormalities;305.4;2.4 Summary;365.5;References;366;Natural History of Patellofemoral Dislocations;396.1;3.1 Introduction;396.2;3.2 Etiology;396.3;3.3 Family History;416.4;3.4 Recurrence Rate;416.5;3.5 Treatment;426.6;3.6 Development of Arthritis;426.7;3.7 Conclusion;436.8;References;437;Clinical Presentation of Patellofemoral Disorders;457.1;4.1 Anterior Knee Pain;457.2;4.2 Patellar Instability;467.3;4.3 Patellofemoral Arthritis;477.4;4.4 Previous Treatments;487.5;4.5 Past Medical History;487.6;4.6 Differential Diagnosis;487.7;4.7 Summary Statement;487.8;References;498;Clinical Examination of the Patellofemoral Patient;508.1;5.1 Introduction;508.2;5.2 Muscle Flexibility;548.3;5.3 Flexion-Extension Crepitus;548.4;5.4 Apprehension Test;558.5;5.5 Conclusions;578.6;5.6 Summary;578.7;References;579;Standard X-Ray Examination: Patellofemoral Disorders;599.1;6.1 Introduction;599.2;6.2 Basic Standard X-Rays;599.3;6.3 Sagittal View;609.4;6.4 Axial View;649.5;6.5 Conclusion;669.6;6.6 Summary;679.7;References;6710;Patellar Height: Which Index?;6810.1;7.1 Introduction ;6810.2;7.2 Definition [1-5];6810.3;7.3 Indices;6910.4;7.4 Conclusion;7210.5;7.5 Summary;7310.6;References;7311;Stress Radiographs in the Diagnosis of Patellofemoral Instability;7511.1;8.1 Technique of Obtaining Patellofemoral Stress Radiographs;7611.2;8.2 Measurements of Patellar Displacement;7711.3;References;7812;Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders;7912.1;9.1 Introduction ;7912.2;9.2 The Protocol (Lyon's Protocol);7912.3;9.3 Tibial Tubercle-Trochlear Groove Distance;8112.4;9.4 Patellar Tilt;8112.5;9.5 Femoral Anteversion;8212.6;9.6 External Tibial Torsion;8212.7;9.7 Other Features of CT Imaging;8212.8;References;8413;MRI Analysis of Patellla Instability Factors;8513.1;10.1 Static Analysis of Instability Factors;8513.2;10.2 MRI Operative Protocol to Analyze Instability Factors;8613.3;10.3 Dynamic Evaluation of Patellofemoral Joint;9013.4;10.4 Summary Statements;9313.5;References;9414;MRI of the Patellofemoral Articular Cartilage;9614.1;11.1 Introduction;9614.2;11.2 Magnetic Resonance Imaging of the Patellofemoral Joint;9714.3;11.3 Summary;10114.4;11.4 Conflicts of Interest;10114.5;References;10115;Patellofemoral Pain Syndrome: The Value of Pinhole and SPECT Scintigraphic Imaging and Quantitative Measurements of Bone Mineral Equivalent Density with Quantitative Computed Tomography;10415.1;12.1 Introduction;10415.2;12.2 Methods;10515.3;12.3 Conclusion;10515.4;References;10716;Gait Analysis in Patients with Patellofemoral Disorders;10916.1;13.1 Introduction;10916.2;13.2 Biomechanics in Patella Femoral Disorders;11016.3;13.3 Conclusion and Future Directions References;11317;Iatrogenic Anterior Knee Pain with Special Emphasis on the Clinical, Radiographical, Histological, Ultrastructural and Biochemical Aspects After Anteri

ISBN	9783642054242
Artikelnummer	9783642054242
Medientyp	E-Book - PDF
Auflage	2. Aufl.
Copyrightjahr	2010
Verlag	Springer-Verlag
Umfang	331 Seiten
Sprache	Englisch
Kopierschutz	Digitales Wasserzeichen