By Vicente Sanchis-Alfonso

Clinically orientated and richly illustrated, this e-book offers entire counsel at the surgical and non-surgical administration of the anterior knee discomfort syndrome and is geared toward orthopedic surgeons, activities drugs practitioners, knee experts and actual therapists.

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Extra resources for Anterior knee pain and patellar instability

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Sarmiento, A. The future of our specialty. Acta Orthop Scand 2000; 71: 574–579. 63. Schutzer, SF, GR Ramsby, and JP Fulkerson. Computed tomographic classification of patellofemoral pain patients. Orthop Clin North Am 1986; 17: 235–248. 64. Skalley, TC, GC Terry, and RA Teitge. The quantitative measurement of normal passive medial and lateral patellar motion limits. Am J Sports Med 1993; 21: 728–732. 65. Spicer, DD, SE Blagg, AJ Unwin et al. Anterior knee symptoms after four-strand hamstring tendon anterior cruciate ligament reconstruction.

Thus, only 40 IPRs (20 right and 20 left) performed on 29 patients composed the study 21 22 group. There were 26 females and 3 males. The average age at the onset of symptoms was 16 (range 10–23 years). 5%). 5%), the onset of symptoms occurred spontaneously without injury. Surgery was performed after a mean of 24 months following onset of symptoms (range 2 months–11 years). 5%). Therefore, two populations were analyzed in this study: “patellar pain patients with PFM” (group I) and “patellar instability patients with PFM” (group II).

However, these are not two co-equal theories. Tissue homeostasis theory easily incorporates and properly assesses the clinical importance of possible factors of PFM, whereas the opposite is not true. In conclusion, I truly believe that both theories are not exclusive, but complementary. In my experience, a knee with PFM can exist happily within its envelope of function, but once it is out, for example by overuse, training error, patterns of faulty sports movements, or traumatism, it can be harder to get back within it, and realignment surgery could be necessary in very selected cases.

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