The Patella

1. Front Matter

   Pages i-xiii

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2. A Historic Review of Patellar Pain

   • James M. Kipnis, Giles R. Scuderi

   Pages 1-9

3. Embryology and Anatomy of the Patella

   • Alfred J. Tria Jr., Jose A. Alicea

   Pages 11-23

4. Biomechanics of the Patellofemoral Joint

   • Paolo Aglietti, Pier Paolo M. Menchetti

   Pages 25-48

5. Pathology of the Patella

   • Vincent J. Vigorita, Daniel Morgan

   Pages 49-68

6. Physical Examination of the Patellofemoral Joint

   • Jeffrey H. Yormak, Giles R. Scuderi

   Pages 69-81

7. Imaging of the Patellofemoral Joint

   • Kevin R. Math, Bernard Ghelman, Hollis G. Potter

   Pages 83-125

8. Conservative Care of Patellofemoral Pain

   • K. Donald Shelbourne, William S. Adsit

   Pages 127-141

9. Rehabilitation of the Patellofemoral Joint

   • Suanne S. Maurer, Glenn Carlin, Robert Butters, Giles R. Scuderi

   Pages 143-167

10. Patellar Problems in the Young Patient

    • Joseph M. Stefko, Freddie Fu

    Pages 169-200

11. Arthroscopic Examination and Treatment of the Patellofemoral Joint

    • Fred D. Cushner, W. Norman Scott

    Pages 201-221

12. Surgical Management of Patellar Instability

    • Giles R. Scuderi

    Pages 223-245

13. Osteotomy of the Patellofemoral Joint

    • Alan Nagel, Giles R. Scuderi

    Pages 247-252

14. Traumatic Maladies of the Extensor Mechanism

    • James V. Bono, Steven B. Haas, Giles R. Scuderi

    Pages 253-275

15. Complications of Patellofemoral Surgery

    • David C. Hillsgrove, Lonnie E. Paulos

    Pages 277-290

16. Management of Patellofemoral Arthritis

    • David D. Bullek, Michael A. Kelly

    Pages 291-308

17. Patellar Considerations in Total Knee Replacement

    • Andrew I. Spitzer, Kelly G. Vince

    Pages 309-331

18. Reflex Sympathetic Dystrophy of the Knee

    • Jeffrey Y. Ngeow

    Pages 333-339

19. Back Matter

    Pages 341-351

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The problems of the patellofemoral joint remain a challenge to the orthopaedic surgeon. In spite of many articles in scientific journals, an outstanding monograph, and several excellent textbook chapters, the patella is still an enigma in many respects. The etiology of patellar pain is controversial, and there is no completely satisfying explanation for its cause or its relationship to chondromalacia. Curiously, neither the widespread use of arthroscopy nor the advent of newer diagnostic tests such as CT scanning and magnetic resonance imaging have cast much light. Without a better understanding of why patellar disorders occur it is not surprising that there is no consensus on how to fix them. Arthros­ copy has contributed little except to the patient's psyche. The currently most popular surgical treatment for recurrent dislocation of the patella was first described 50 years ago. One concrete advance, albeit a small one, is a better understanding of the role of anatomical abnormalities and patellofemoral dysplasia in patellar instabilities. It gives me great pleasure that many of the contributors are, like Dr.

• Surgery
• anatomy
• biomechanics
• complication
• embryology
• instability
• knee
• osteotomy
• pathology
• rehabilitation

• Beth Israel Medical Center-North Division, The Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, USA

  Giles R. Scuderi

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