Orthopaedic Sports Medicine

Answer 3 Patellofemoral pain with negative passive patellar tilt. Appropriate nonoperative care has been unsuccessful in relieving this patient’ symptoms. Indications for arthroscopy and isolated lateral retinacular release are patellofemoral pain, mainly lateral, a negative passive patellar tilt, and a tight lateral retinaculum.5 Lateral retinacular release for the treatment of instability has been shown to have a poor success rate, with the potential for recurrence of instability symptoms.6 Patients with ligamentous laxity are unlikely to benefit from lateral retinacular release. REFERENCES 5.  Kolowich PA, Paulos LE, Rosenberg TD, Farnsworth S. Lateral release of the patella: indications and contraindications. Am J Sports Med 1990;18:359-65. 6. Panni AS, Tartarone M, Patricola A, et al. Long-term results of lateral retinacular release. Arthroscopy 2005;21:526-31. Click here to return to the questions

Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2009, Turner White Communications Updated 1/04/08 • kkj