Course Lecture Pearls: Patellofemoral Joint Preservation-Medial Anatomy and Soft Tissue Stabilization-Dr. Miho J. Tanaka

Medial Anatomy and Soft Tissue Stabilization-Dr. Miho J. Tanaka

Video Transcription

Video Summary

Miho Tanaka discussed medial patellar anatomy and soft tissue stabilization, focusing on the medial patellofemoral ligament (MPFL) and its evolving understanding, including the medial quadriceps tendon–femoral ligament (MQTFL) and medial patellofemoral complex (MPFC). Variability exists in these structures’ attachments to the patella and quadriceps tendon, impacting reconstruction approaches. Accurate femoral tunnel placement and graft tensioning are critical to avoid complications like patellar fracture or increased joint stress. She emphasized individualized reconstruction techniques and highlighted distal restraints' emerging role, such as MPML and MPTL, with indications still under study for managing lateral patellar instability.

Keywords

medial patellofemoral ligament

medial quadriceps tendon–femoral ligament

medial patellofemoral complex

patellar instability reconstruction

femoral tunnel placement