Clinical Outcome of Arthroscopic Lateral Release for Lateral Patellar Compression Syndrome

Authors

  • Omer Farouk Ahmed Fouar Erbil teaching Hospital, Erbil, Kurdistan Region, Iraq.
  • Sherwan Ahmed Ali Hamawandi College of Medicine, Hawler Medical University, Erbil, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.22317/imj.v5i2.1010

Keywords:

Lateral patellar compression syndrome, Arthroscopic lateral release, Lysholm score

Abstract

Objective: In this study, we have evaluated the effects of isolated arthroscopic lateral retinacular release in lateral patellar compression syndrome according to Lysholm Knee Scoring Scale.

Methods: a prospective case series study of 48 patients who suffered Lateral patellar compression syndrome who were diagnosed by clinical examination and confirmed by M.R.I. and failed conservative management and underwent isolated arthroscopic lateral patellar retinaculum.

Results: There was significant improvement in Lysholm score, in particular for pain, using stairs and squatting. The procedure had a high mean satisfaction score of 83.15 post operatively which is significant compared to preoperative score which was 51.17 (p<0.001).

Conclusion: Isolated patella retinaculum release can be effective for relieving anterior knee pain in isolated lateral patellar compression syndrome without significant instability or mal-alignment.

References

1. Saper, M. G., & Shneider, D. A. Diagnosis and treatment of lateral patellar compression syndrome. Arthroscopy techniques 2014, ISSN ‎2212-6287, 3(5), e633-e638.
2. Wang, Y., Fan, Y., & Zhang, M. Comparison of stress on knee cartilage during kneeling and standing using finite element models. Med Eng Phys, 2014, ISSN 1350-4533, 36(4), 439-447.
3. Roush, J. R., & Bay, R. C. Prevalence of anterior knee pain in 18–35 year-old females. International journal of sports physical therapy, 2012, 7(4), 396.
4. Smith, B. E., Selfe, J., Thacker, D., Hendrick, P., Bateman, M., Moffatt, F., ... & Logan, P. Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PloS one, 2018, 13(1).
5. Dixit, S., Difiori, J. P., Burton, M., & Mines, B. Management of patellofemoral pain syndrome. American family physician, 2007, 75(2), 194-202.
6. The Orthopedic Physical Examination, Reider 2nd Edition/chapter6/page 239.
7. MaZZOla, C., & MaNtOVaNI, D. Patellofemoral malalignment and chondral damage: current concepts. Joints, 2013, 1(2), 27.
8. The Orthopedic Physical Examination 2nd Edition; Bruce Reider /page 176,212 and 213
9. Turek's Orthopedics principles and their applications/6th Edition/ page 613.
10. Buuck DA. Disorders of the patellofemoral joint. Lippincott Williams & Wilkins; 2004.
11. Laurin, C. A., Dussault, R., & Levesque, H. P. The tangential x-ray investigation of the patellofemoral joint: x-ray technique, diagnostic criteria and their interpretation. Clinical orthopaedics and related research, 1979, (144), 16-26.
12. Campbell's Operative Orthopedics/13th edition/Part XIV/Chapter 51/lateral retinacular release/page 2541-2543.
13. Shea, K. P., & Fulkerson, J. P. Preoperative computed tomography scanning and arthroscopy in predicting outcome after lateral retinacular release. Arthroscopy, 1992, 8(3), 327-334.
14. Calpur, O. U., Ozcan, M., Gurbuz, H., & Turan, F. N. Full arthroscopic lateral retinacular release with hook knife and quadriceps pressure-pull test: long-term follow-up. Knee Surgery, Sports Traumatology, Arthroscopy, 2005, 13(3), 222-230.
15. Fithian, D. C., Paxton, E. W., Post, W. R., & Panni, A. S. Lateral retinacular release: a survey of the International Patellofemoral Study Group. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2004, 20(5), 463-468.
16. Panni, A. S., Tartarone, M., Patricola, A., Paxton, E. W., & Fithian, D. C. Long-term results of lateral retinacular release. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2005, 21(5), 526-531.
17. Gerbino, P. G., Zurakowski, D., Soto, R., Griffin, E., Reig, T. S., & Micheli, L. J. Long-term functional outcome after lateral patellar retinacular release in adolescents: an observational cohort study with minimum 5-year follow-up. Journal of Pediatric Orthopaedics, 2008, 28(1), 118-123.
18. O'NEILL, D. B. Open lateral retinacular lengthening compared with arthroscopic release. A prospective, randomized outcome study. JBJS, 1997, 79(12), 1759-69.
19. Lattermann, C., Drake, G. N., Spellman, J., & Bach, B. R. Lateral Retinacular Release for Anterior Knee Pain–A Systematic Review of the Literature. The journal of knee surgery, 2006, 19(04), 278-284.
20. Zakariyah, M., Hamza, B. I., & Abdulhussein, J. J. Bleomycin pleurodesis in malignant pleural effusion. Iraq Medical Journal, 2020, 4(3).

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Published

2021-06-26

How to Cite

Fouar, O. F. A., & Hamawandi, S. A. A. (2021). Clinical Outcome of Arthroscopic Lateral Release for Lateral Patellar Compression Syndrome. Iraq Medical Journal, 5(2). https://doi.org/10.22317/imj.v5i2.1010

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Articles