As this work is published, at the beginning of the 21st Century, a new perspective of the classic orthopedic enigma of the patellofemoral pain problem is becoming increasingly accepted. It is clear that the decades-old paradigm of a pure structural and biomechanical explanation for the genesis of patellofemoral pain is inadequate, and that a new era has begun with biological factors now being given more consideration.

This book is organized into sections which have been reformatted from the first edition. Unlike other publications, this work gives great importance to the etiopathogeny; the latest theories are presented regarding the pathogeny of anterior knee pain and patellar instability, although in an eminently clinical and practical manner.

With contributions from orthopedic surgeons, physiotherapists, radiologists, biologists, pathologists, bioengineers, and plastic surgeons this multidisciplinary book will serve as an authoritative reference on one of the most problematic entities currently in the pathology of the knee.

Zusammenfassung

A multitude of leading international authorities provide fresh insights and approaches for patient evaluation and treatment of Anterior knee pain syndrome and patellofemoral
instability. Included are new chapters featuring clinical cases and detailed descriptions of the most important surgical techniques used for the knee extensor mechanism, each being described by the surgeon who developed it. The book is divided in four sections, the first section focuses on the etiopathogenic bases, the second section focuses on emerging
technologies, the third section includes difficult clinical cases studied, and the fourth section provides a description of the most important surgical techniques for the knee extensor mechanism.

Inhalt

Foreword.- Preface.- SECTION I: ETIOPATHOGENIC BASES AND THERAPEUTIC IMPLICATIONS.- Background. Patellofemoral malaligment vs Tissue homeostasis. Myths and truths about patellofemoral disease.- Pathogenesis of anterior knee pain and patellar instability. What have we learned from realignment surgery?.- Biological causes of anterior knee pain.- In search of the etiology of anterior knee pain.- Biomechanics of the patellofemoral joint. Implications in the genesis of pain and instability.- Anatomy of patellar dislocation.- Evaluation of the patient with anterior knee pain and patellar instability.- Influence of psycological factors on pain and dissability in patellofemoral pain syndrome.- Uncommon causes of anterior knee pain.- Risk factors and prevention of anterior knee pain.- Conservative treatment of athletes with anterior knee pain: science, classical and new ideas.- Conservative management of anterior knee pain: the McConnell program.- Squeletal malalignment and anterior knee pain. Rationale, diagnosis and management.- Patellar tendinopathy: Where does the pain come from?.- Pathophysiology of patellofemoral arthritis.- Prevention of anterior knee pain after anterior cruciate ligament reconstruction.- Donor-site morbidity after anterior cruciate ligament reconstruction using autografts.- SECTION II: EMERGING TECHNOLOGIES FOR INVESTIGATING PATELLOFEMORAL JOINT.- Computational modeling for investigating patellofemoral joint. Clinical relevance.- Kinetic and kinematic analysis in evaluating patellofemoral disorders.- SECTION III: CLINICAL CASES COMMENTED.- Complicated cases studies.- Failure of patellofemoral surgery. Analysis of clinical cases.- Neuromatous knee pain: Evaluation and management.- Posterior knee pain referred from the patellofemoral joint.- SECTION IV: SURGICAL TECHNIQUES.- Reconstruction of the medial patellofemoral ligament.- Reconstruction of the medial patellofemoral ligament.- Reconstruction of the lateral patellofemoral ligament.-Reconstruction of the lateral patellofemoral ligament.- Rotational osteotomy.- Trochleoplasty.- Osteotomies in patella baja / patella alta.- Arthroscopic patellar release for the treatment of patellar tendinopathy.- Anteromedial tibial tubercle osteotomy (Fulkerson osteotomy).- Autologous chondrocyte implantation.-Patellofemoral arthroplasty: Pearls and pitfalls.- EPILOGUE.