IC 202-2023: Patellofemoral Cartilage Pathology Diagnosis and Management: From Nonoperative to Arthroplasty-IC 202 - Patellofemoral Cartilage Pathology Diagnosis and Management: From Nonoperative to Arthroplasty (3/3)

IC 202 - Patellofemoral Cartilage Pathology Diagnosis and Management: From Nonoperative to Arthroplasty (3/3)

Video Transcription

Video Summary

The video is a discussion among medical professionals about a patient who experienced a patellar dislocation four months ago. The patient is a 32-year-old female who had no history of prior patellofemoral issues. After attempting physical therapy for three months, she still experienced worsening pain during activities like squats and lunges. Physical examination shows limited motion and tenderness on the lateral patella. Radiographs reveal chronic underlying maltracking. MRI shows grade 3 to 4 lesions on the lateral patella and kissing lesions on the trochlea. The medical professionals discuss various treatment options, including cartilage regenerative procedures and unloading techniques. They also discuss the importance of measuring the tilt and drop of the patella, the role of the lateral retinaculum, and the use of CT scans and MRIs for measurements. The video ends with the surgeon discussing the procedure performed, which involved an osteotomy and retinacular lengthening. Rehabilitation protocol for the patient is discussed, including weight-bearing and range of motion limitations. The importance of using continuous passive motion (CPM) machines is also mentioned.

Asset Caption

Cassandra Lee, MD

Keywords

patellar dislocation

cartilage regenerative procedures

unloading techniques

osteotomy

rehabilitation protocol