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Case # 5: Multidirectional Patellar Instability After Over-Medialization of the Tibial Tubercle in a Patient with Severe Trochlear Dysplasia and Patella Alta

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Anterior Knee Pain and Patellar Instability
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Abstract

This is the case of a 43-year-old woman who came to my office for a second opinion for right patellar instability and severe anterior right knee pain. Instability was the main complain. She had undergone an operation on both knees in which a bilateral medialization of the tibial tubercle associated to lateral retinaculum release was performed. She experienced very significant limitations in her daily life activities as well as a quite notable decrease in her quality of life. Physical examination demonstrated multidirectional (lateral and medial) patellar instability.

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References

  1. Teitge RA. CORR Insights®: Lateral-compartment osteophytes are not associated with lateral-compartment cartilage degeneration in arthritic varus knees. Clin Orthop Relat Res. 2017;475(5):1393–4.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Blønd L, Donell S. Does the patellofemoral joint need articular cartilage? Knee Surg Sports Traumatol Arthrosc. 2015;23(12):3461–3.

    Article  PubMed  Google Scholar 

  3. Kuroda R, Kambic H, Valdevit A, et al. Articular cartilage contact pressure after tibial tuberosity transfer: A cadaveric study. Am J Sports Med. 2001;29(4):403–9.

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Correspondence to Vicente Sanchis-Alfonso .

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Sanchis-Alfonso, V. (2023). Case # 5: Multidirectional Patellar Instability After Over-Medialization of the Tibial Tubercle in a Patient with Severe Trochlear Dysplasia and Patella Alta. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_46

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_46

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09766-9

  • Online ISBN: 978-3-031-09767-6

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