AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-The Patellofemoral Cartilage Dilemma

The Patellofemoral Cartilage Dilemma_ Let Me Help You

Video Transcription

Video Summary

Christian Latiman, chief of sports medicine at Brigham and Women's Hospital, discusses the patellofemoral cartilage dilemma, emphasizing the need to understand diagnosis, bone/malalignment, soft tissue balance, and treatment skills for success. Patellofemoral cartilage lesions are common but not always symptomatic. Accurate imaging and assessment of factors like patella alta, trochlea dysplasia, and lateral force vectors are crucial. Treatment options vary, with microfracture generally ineffective, while MACI and osteochondral grafts have roles depending on lesion size. Soft tissue balance and bony alignment are key to stability. Careful patient evaluation and conservative indications are advised due to limited evidence-based guidance.

Keywords

patellofemoral cartilage

diagnosis

bone malalignment

soft tissue balance

treatment options