The problems of the patellofemoral joint remain a challenge to the
orthopaedic surgeon. In spite of many articles in scientific
journals, an outstanding monograph, and several excellent textbook
chapters, the patella is still an enigma in many respects. The
etiology of patellar pain is controversial, and there is no
completely satisfying explanation for its cause or its relationship
to chondromalacia. Curiously, neither the widespread use of
arthroscopy nor the advent of newer diagnostic tests such as CT
scanning and magnetic resonance imaging have cast much light.
Without a better understanding of why patellar disorders occur it
is not surprising that there is no consensus on how to fix them.
Arthros copy has contributed little except to the patient's psyche.
The currently most popular surgical treatment for recurrent
dislocation of the patella was first described 50 years ago. One
concrete advance, albeit a small one, is a better understanding of
the role of anatomical abnormalities and patellofemoral dysplasia
in patellar instabilities. It gives me great pleasure that many of
the contributors are, like Dr."
General
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