Document Detail

The isolated lateral retinacular release in the treatment of patellofemoral disorders.
MedLine Citation:
PMID:  6723164     Owner:  NLM     Status:  MEDLINE    
Isolated lateral retinacular release was performed on 102 knees in 76 patients. Diagnoses included chondromalacia patellae, patellar compression syndrome, and subluxation and dislocation of the patella. Patients reported that their symptoms improved after isolated lateral retinacular release in 95 of 102 knees. At follow-up evaluation (mean, 14.5 months after surgery), independent observers found no recurrence of dislocation in the 23 knees having had frank dislocations before surgery. In 71% of the knees with limitation of activity before surgery, unlimited activity was tolerated after isolated lateral retinacular release. Quadriceps exercise tolerance improved from 51% before surgery to 100% after surgery. This improvement in exercise tolerance can provide a significant length of time in which quadriceps rehabilitation can be conducted. Hypothetically, the effect of that lateral retinacular release is a decrease in the work load of an overpowered or weakened vastus medialis obliquus muscle, the major provider of dynamic stability required by the patellofemoral joint.
S J Bigos; G G McBride
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-07-12     Completed Date:  1984-07-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  75-80     Citation Subset:  AIM; IM    
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MeSH Terms
Cartilage Diseases / surgery
Dislocations / surgery
Follow-Up Studies
Joint Diseases / surgery
Middle Aged
Patella / injuries,  surgery*
Tendons / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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