Quadriceps Tendon Lengthening for Obligatory (Habitual) Patellar Dislocation in Flexion

Betina B. Hinckel; Charles A. Baumann; Elizabeth A. Arendt; Riccardo G. Gobbi; Andrew J. Garrone; Elliot Voss; Donald Fithian; Najeeb Khan; Seth L. Sherman

doi:10.1016/j.eats.2022.05.003

Quadriceps Tendon Lengthening for Obligatory (Habitual) Patellar Dislocation in Flexion

Betina B. Hinckel, Charles A. Baumann, Elizabeth A. Arendt, Riccardo G. Gobbi, Andrew J. Garrone, Elliot Voss, Donald Fithian, Najeeb Khan, Seth L. Sherman

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Obligatory patella dislocation in flexion is an uncommon form of patellar instability, where the patella is located in extension and dislocates with every episode of knee flexion. This results in dramatically altered patellofemoral kinematics and can be extremely debilitating due to extensor strength deficits and lack of knee confidence in flexion. Concomitant pathology, which is often seen, includes a tight lateral retinaculum and a shortened extensor mechanism. Lengthening the extensor mechanism is a critical part of successful patellar stabilization, and has not been well-reported. Herein, we present a technique of quadriceps lengthening for the treatment of obligatory patellar dislocation.

Original language	English (US)
Pages (from-to)	e1589-e1595
Journal	Arthroscopy Techniques
Volume	11
Issue number	9
DOIs	https://doi.org/10.1016/j.eats.2022.05.003
State	Published - Sep 2022

Bibliographical note

Funding Information:
The authors report the following potential conflicts of interest or sources of funding: E.A.A. reports personal fees from Smith & Nephew, Knee Surgery, Sports Traumatology, Arthroscopy, American Journal of Sports Medicine, and Journal of ISAKOS, outside the submitted work. S.L.S. reports personal fees from Arthrex, BioVentus, Joint Restoration Foundation, Kinamed, NewClip, Conmed, Smith & Nephew, Vericel, Vivorte, Reparel, Sarcio, and Epic Bio, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.

Publisher Copyright:
© 2022 The Authors

PubMed: MeSH publication types

Journal Article

Access

10.1016/j.eats.2022.05.003

OpenUrl availability

Full text

Cite this

@article{121417a183d04602a61f339d81f17349,

title = "Quadriceps Tendon Lengthening for Obligatory (Habitual) Patellar Dislocation in Flexion",

abstract = "Obligatory patella dislocation in flexion is an uncommon form of patellar instability, where the patella is located in extension and dislocates with every episode of knee flexion. This results in dramatically altered patellofemoral kinematics and can be extremely debilitating due to extensor strength deficits and lack of knee confidence in flexion. Concomitant pathology, which is often seen, includes a tight lateral retinaculum and a shortened extensor mechanism. Lengthening the extensor mechanism is a critical part of successful patellar stabilization, and has not been well-reported. Herein, we present a technique of quadriceps lengthening for the treatment of obligatory patellar dislocation.",

author = "Hinckel, {Betina B.} and Baumann, {Charles A.} and Arendt, {Elizabeth A.} and Gobbi, {Riccardo G.} and Garrone, {Andrew J.} and Elliot Voss and Donald Fithian and Najeeb Khan and Sherman, {Seth L.}",

note = "Funding Information: The authors report the following potential conflicts of interest or sources of funding: E.A.A. reports personal fees from Smith & Nephew, Knee Surgery, Sports Traumatology, Arthroscopy, American Journal of Sports Medicine, and Journal of ISAKOS, outside the submitted work. S.L.S. reports personal fees from Arthrex, BioVentus, Joint Restoration Foundation, Kinamed, NewClip, Conmed, Smith & Nephew, Vericel, Vivorte, Reparel, Sarcio, and Epic Bio, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material. Publisher Copyright: {\textcopyright} 2022 The Authors",

year = "2022",

month = sep,

doi = "10.1016/j.eats.2022.05.003",

language = "English (US)",

volume = "11",

pages = "e1589--e1595",

journal = "Arthroscopy Techniques",

issn = "2212-6287",

publisher = "Elsevier Inc.",

number = "9",

}

TY - JOUR

T1 - Quadriceps Tendon Lengthening for Obligatory (Habitual) Patellar Dislocation in Flexion

AU - Hinckel, Betina B.

AU - Baumann, Charles A.

AU - Arendt, Elizabeth A.

AU - Gobbi, Riccardo G.

AU - Garrone, Andrew J.

AU - Voss, Elliot

AU - Fithian, Donald

AU - Khan, Najeeb

AU - Sherman, Seth L.

N1 - Funding Information: The authors report the following potential conflicts of interest or sources of funding: E.A.A. reports personal fees from Smith & Nephew, Knee Surgery, Sports Traumatology, Arthroscopy, American Journal of Sports Medicine, and Journal of ISAKOS, outside the submitted work. S.L.S. reports personal fees from Arthrex, BioVentus, Joint Restoration Foundation, Kinamed, NewClip, Conmed, Smith & Nephew, Vericel, Vivorte, Reparel, Sarcio, and Epic Bio, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material. Publisher Copyright: © 2022 The Authors

PY - 2022/9

Y1 - 2022/9

N2 - Obligatory patella dislocation in flexion is an uncommon form of patellar instability, where the patella is located in extension and dislocates with every episode of knee flexion. This results in dramatically altered patellofemoral kinematics and can be extremely debilitating due to extensor strength deficits and lack of knee confidence in flexion. Concomitant pathology, which is often seen, includes a tight lateral retinaculum and a shortened extensor mechanism. Lengthening the extensor mechanism is a critical part of successful patellar stabilization, and has not been well-reported. Herein, we present a technique of quadriceps lengthening for the treatment of obligatory patellar dislocation.

AB - Obligatory patella dislocation in flexion is an uncommon form of patellar instability, where the patella is located in extension and dislocates with every episode of knee flexion. This results in dramatically altered patellofemoral kinematics and can be extremely debilitating due to extensor strength deficits and lack of knee confidence in flexion. Concomitant pathology, which is often seen, includes a tight lateral retinaculum and a shortened extensor mechanism. Lengthening the extensor mechanism is a critical part of successful patellar stabilization, and has not been well-reported. Herein, we present a technique of quadriceps lengthening for the treatment of obligatory patellar dislocation.

UR - http://www.scopus.com/inward/record.url?scp=85136471656&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85136471656&partnerID=8YFLogxK

U2 - 10.1016/j.eats.2022.05.003

DO - 10.1016/j.eats.2022.05.003

M3 - Article

C2 - 36185121

AN - SCOPUS:85136471656

SN - 2212-6287

VL - 11

SP - e1589-e1595

JO - Arthroscopy Techniques

JF - Arthroscopy Techniques

IS - 9

ER -

Quadriceps Tendon Lengthening for Obligatory (Habitual) Patellar Dislocation in Flexion

Abstract

Bibliographical note

PubMed: MeSH publication types

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this