Diagnosis and treatment of excessive lateral pressure syndrome of the patellofemoral joint caused by military training

Abstract

Apart from the case history, typical symptoms and physical signs, X-ray examination is the most basic way to diagnose excessive lateral pressure syndrome of the patellofemoral joint, and the patellofemoral joint index is the most reliable for diagnosis. Lateral collateral retinaculum release with a small-incision is an effective treatment for this disease.

Effectiveness of Physiotherapy in the Treatment of Excessive Lateral Pressure Syndrome after Anterior Cruciate Ligament Reconstruction - Preliminary Report

“…Kon se kwen cją wy żej wy mie nio nych ob jawów mo że być przed wcze sne zu ży cie po wierzch ni sta wo wych za rów no na kłyk ciu bocz nym ko ści udowej, ja k i na po wierzch ni sta wo wej rzep ki [4]. Jak po da je Zhang, ope ra cyj ne uwol nie nie trocz ka boczne go jest sku tecz nym spo so bem te ra pii te go scho rzenia [5]. Nie wie le jest na to miast in for ma cji do ty czących mo żli wo ści wy ko rzy sta nia fi zjo te ra pii w le czeniu ze spo łu bocz ne go przy par cia rzep ki.…”

“…Nie wie le jest na to miast in for ma cji do ty czących mo żli wo ści wy ko rzy sta nia fi zjo te ra pii w le czeniu ze spo łu bocz ne go przy par cia rzep ki. Zhang pi sze rów nież, że naj bar dziej pod sta wo wym spo so bem diagno zo wa nia te go scho rze nia, oprócz wy stę po wa nia do syć ty po wych ob ja wów kli nicz nych, jest ba da nie ra dio lo gicz ne [5]. Wy da je się jed nak, że w co dziennej pra cy le ka rza or to pe dy czy fi zjo te ra peu ty mo że mieć rów nież za sto so wa nie ba da nie ul tra so no graficz ne, któ re nie na ra ża pa cjen ta z jed nej stro ny na szko dli we pro mie nio wa nie, a z dru giej jest ła twe do prze pro wa dze nia, mo żli we jest czę ste je go po wta rzanie, a tym sa mym śle dze nie efek tów te ra pii zwłaszcza je śli sto so wa ne bę dzie le cze nie za cho waw cze.…”

“…In consequence, these symptoms may lead to premature wear of joint surfaces, both on the lateral condyle of femur and on the articular patellar surface [4]. Zhang reports that surgical lateral retinacular release is an effective therapy for this condition [5]. At the same time, not much information is available about the possibilities of employing physiotherapy in the treatment of the excessive lateral pressure syndrome.…”

“…At the same time, not much information is available about the possibilities of employing physiotherapy in the treatment of the excessive lateral pressure syndrome. Zhang also writes that the most basic method of diagnosing this con dition, apart from the occurrence of quite typical clinical symptoms, is the radiographic examination [5]. It seems, however, that the ultrasound examination may also be employed for this purpose in the daily practice of an orthopedist or physiotherapist.…”

Outcome and experience of arthroscopic lateral retinacular release combined with lateral patelloplasty in the management of excessive lateral pressure syndrome

“…Excessive lateral pressure syndrome (ELPS), also known as lateral patellar compression syndrome, is featured by long-term lateral tilt of the patella without subluxation or dislocation and adaptive shortening of lateral retinaculum (LR), which results in long-term stress imbalance of the medial and lateral patellofemoral articular surface, increased lateral patellofemoral joint pressure, and ultimately causes a series of pain syndromes [ 1 ]. The lateral tilt of the patella is secondary to the contracture of the LR, whose pathogenesis is related to the increased lateral patellofemoral joint stress [ 2 ]. ELPS is one of the common causes of anterior knee pain, which can cause severe patellofemoral joint dysfunction [ 3 ].…”