Early osteoarthritis of the patellofemoral joint.
Patellofemoral joint cartilage lesions are associated with a variety of clinical situations including blunt trauma, lateral patella dislocations, or as a secondary development in the setting of abnormal joint loading. There is a need for more clarity on how to best address these lesions. Most specifically, when is it necessary to surgically treat these lesions of the patella and trochlea and which technique to use? This review will focus on the spectrum of patellofemoral disease/injury and their treatment strategies, with special emphasis on cartilage damage and early osteoarthritis. Chapter sections will review the most common scenarios of cartilage damage in the patellofemoral joint, with an attempt to summarize current treatment, their outcomes, remaining challenges and unanswered questions.
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Av. So., Ste. R200, Minneapolis, MN, 55454, USA. arend001@umn.edu.
Elizabeth A
EA
Arendt
Department of Knee Surgery, Orthopaedic Hospital Gaetano Pini, Milan, Italy.
Massimo
M
Berruto
Biomechanics Lab - II Clinic, Rizzoli Orthopaedic Institute, Bologna, Italy.
Giuseppe
G
Filardo
Orthopaedics and Traumatology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
Mario
M
Ronga
Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136, Bologna, Italy.
Stefano
S
Zaffagnini
Indiana School of Medicine, Greenwood, IN, USA.
Jack
J
Farr
Department of Knee Surgery, Orthopaedic Hospital Gaetano Pini, Milan, Italy.
Paolo
P
Ferrua
Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136, Bologna, Italy.
Alberto
A
Grassi
Sacro Cuore Hospital, Negrar, Verona, Italy.
Vincenzo
V
Condello
D002358:Cartilage, Articular / Q000293:injuries / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology* / Q000601:surgery; D007719:Knee Joint / Q000503:physiopathology; D020370:Osteoarthritis, Knee / Q000503:physiopathology*; D010329:Patella; D031222:Patellar Dislocation / Q000503:physiopathology*; D057071:Patellofemoral Joint / Q000293:injuries / Q000503:physiopathology* / Q000601:surgery
Cartilage; Osteoarthritis; Patellofemoral joint; Treatment; Trochlea