Abstract
The patellofemoral joint has a low degree of congruency by nature; therefore, it is more susceptible to dislocation. There are active and passive restraints that prevent to the patella from being subluxed or dislocated. The passive stability depends on statical anatomical restraints, the congruence between trochlea and patella which is low as mentioned above. The active stability is provided by dynamical restraints, the muscles, and the balance between the ligaments; both bony and soft tissues structures provide an active and passive stability which allows the patella to function during knee movements.
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References
Fithian DC, Paxton EW, Stone ML, et al. (2004) Epidemiology and natural history of acute patellar dislocation. Am J Sports Med 32(5):1114–1121
Dejour H, Walch G, Neyret P, Adeleine P (1990) Dysplasia of the femoral trochlea. Rev Chir Orthop Reparatrice Appar Mot 76(1):45–54
Dejour H, Walch G, Nove-Josserand L, Guier C (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2(1):19–26
Dejour D, Le Coultre B (2007) Osteotomies in patello-femoral instabilities. Sports Med Arthrosc 15(1):39–46
Walch G, Dejour H (1989) Radiology in femoro-patellar pathology. Acta Orthop Belg 55(3):371–380
Glard Y, Jouve JL, Panuel M, et al. (2005) An anatomical and biometrical study of the femoral trochlear groove in the human fetus. J Anat 206(4):411–413
Jouve JL, Glard Y, Garron E, et al. (2005) Anatomical study of the proximal femur in the fetus. J Pediatr Orthop B 14(2):105–110
Tavernier T, Dejour D (2001) Knee imaging: what is the best modality. J Radiol 82(3 Pt 2):387–405, 407–408
Tecklenburg K, Dejour D, Hoser C, Fink C (2006) Bony and cartilaginous anatomy of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc 14(3):235–240
Remy F, Besson A, Migaud H, et al. (1998) Reproducibility of the radiographic analysis of dysplasia of the femoral trochlea. Intra-and interobserver analysis of 68 knees. Rev Chir Orthop Reparatrice Appar Mot 84(8):728–733
Remy F, Chantelot C, Fontaine C (1998) Inter-and intraobserver reproducibility in radiographic diagnosis and classification of femoral trochlear dysplasia. Surg Radiol Anat 20(4):285–289
Malghem J, Maldague B (1989) Depth insufficiency of the proximal trochlear groove on lateral radiographs of the knee: relation to patellar dislocation. Radiology 170(2):507–510
Nove-Josserand L, Dejour D (1995) Quadriceps dysplasia and patellar tilt in objective patellar instability. Rev Chir Orthop Reparatrice Appar Mot 81(6):497–504
Masse Y (1978) Trochleoplasty. Restoration of the intercondylar groove in subluxations and dislocations of the patella. Rev Chir Orthop Reparatrice Appar Mot 64(1):3–17
Verdonk R, Jansegers E, Stuyts B (2005) Trochleoplasty in dysplastic knee trochlea. Knee Surg Sports Traumatol Arthrosc 13(7):529–533
Elias J, Cosgarea AJ (2006) Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med (34):1478–1485
LeGrand A, Greis P, Dobbs R, Burks R (2007) MPFL reconstruction. Sports Med Arthrosc 15(2):72–77
Maenpaa H, Lehto M (1997) Patellofemoral osteoarthritis after patellar dislocation. Clin Orthop (339):156–162
Insall J (1976) Recurrent dislocation of the patella. Relation of treatment to osteoarthritis. J Bone Joint Surg Am (58):9–13
Fithian D, Paxton E, Cohen A (2004) Indications in the treatment of patellar instability. J Knee Surg (17):47–56
Mulford J, Eldridge J (2008) Technique of trochleoplasty for the treatment of patella instability. Tech Knee Surg 7(1):13–18
Arnbjornsson A, Egund N, Rydling O (1992) The natural history of recurrent dislocation of the patella. Long-term results of conservative and operative treatment. J Bone Joint Surg Br 74:140–142
Marcacci M, Zaffagnini S, Iacono F (1995) Results in the treatment of recurrent dislocation of the patella after 30 years’ follow-up. Knee Surg Sports Traumatol Arthrosc 3:163–166
von Knoch F, Bohm T, Burgi M (2006) Trochleaplasty for recurrent patellar dislocation in association with trochlear dysplasia: a 4-to 14-year follow-up study. J Bone Joint Surg Br 88:1331–1335
Arendt E, Merchant AC, Leadbetter W (2005) Anatomy and malalignment of the patellofemoral joint: its relation to patellofemoral arthrosis. Clin Orthop Relat Res (436):71–75
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Dejour, D., Byn, P. (2012). Deepening trochleoplasty for patellofemoral instability. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_48
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DOI: https://doi.org/10.1007/978-2-287-99353-4_48
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