Search results for "Lateral retinaculum"
showing 2 items of 2 documents
Biological Causes of Anterior Knee Pain
2012
We review the pathophysiology of anterior knee pain in the young patient. Emphasis is placed on newer findings. We have developed what we call the “Neural Model” as an explanation for the genesis of anterior knee pain. We have demonstrated a neuroanatomical basis for PFPS in the young patient and the clinical observation that the lateral retinaculum may have a key role in the origin of this pain. According to our studies we hypothesize that periodic short episodes of ischemia in the lateral retinaculum could be implicated in the pathogenesis of anterior knee pain, at least in a subgroup of anterior knee pain patients, by triggering neural proliferation of nociceptive axons (substance P posi…
Kinetic and Kinematic Analysis of Iatrogenic Medial Patellar Instability: Clinical Relevance
2012
We speculate that chronic recurrent soft tissue fatigue or overload due to patellofemoral imbalance could cause anterior knee pain. However, many chondropathies can be asymptomatic due to the biomechanic defence strategies used by the patients. Moreover, we emphasize the importance of the passive restraining structures in patellar stability, in contrast to the role of muscle function advocated by some authors. This could explain why an exercise rehabilitation program could be unsuccessful in improving patellar instability, as it occurred in our cases. Finally, these cases highlight the need for surgeons to be more judicious in their surgical selection for patellofemoral instability and serv…