The Patella -

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Résumé :
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.

Sommaire:
1 A Historic Review of Patellar Pain.- 2 Embryology and Anatomy of the Patella.- 3 Biomechanics of the Patellofemoral Joint.- 4 Pathology of the Patella.- 5 Physical Examination of the Patellofemoral Joint.- 6 Imaging of the Patellofemoral Joint.- 7 Conservative Care of Patellofemoral Pain.- 8 Rehabilitation of the Patellofemoral Joint.- 9 Patellar Problems in the Young Patient.- 10 Arthroscopic Examination and Treatment of the Patellofemoral Joint.- 11 Surgical Management of Patellar Instability.- 12 Osteotomy of the Patellofemoral Joint.- 13 Traumatic Maladies of the Extensor Mechanism.- 14 Complications of Patellofemoral Surgery.- 15 Management of Patellofemoral Arthritis.- 16 Patellar Considerations in Total Knee Replacement.- 17 Reflex Sympathetic Dystrophy of the Knee.