• Welcome
  • the Problem
  • Evaluation
    • History
    • Physical Examination
    • Xrays
  • PatelloFemoral Anatomy
    • The Patella (Kneecap)
    • The Femoral Groove
    • Ligaments and Tendons
    • Other Factors (Hip, Foot, Tissue Type)
  • Patellar Pressure - Lateral Compression - Anterior Knee Pain or PFS
  • Patellar Instability
    • Lateral Patellar Laxity
  • Chondromalacia and Arthritis
  • Surgery
    • Lateral Release
    • Medial PatelloFemoral Ligament - MPFL
    • Lateral PatelloFemoral Ligament Reconstruction with Quadriceps Tendon Graft
    • Tibial Tubercle Transfer
    • MPFL and LPFL Reconstruction with a Single Tendon Graft
    • Patellofemoral Joint Replacement
    • Surgery and Postop Recovery
  • Failed Surgery
    • Failed Lateral Release
    • Failed MPFL Reconstruction
  • Case Reports
    • MO Severe Arthritis and Instability after Failed Surgery
  • Appointments
  • David Shneider MD
    • Curriculum Vitae
  • Scientific Presentations
  • Patient Comments
Picture
8 months after MPFL and TTT for recurrent patellar dislocations.

Welcome to patellaMD.com


PatellaMD.com is a resource for information and understanding about patellofemoral problems.  These problems are common but poorly understood by most Orthopaedic Surgeons.

  • Patients with these problems frequently have disabling pain, instability or arthritis.  
  • Lateral Release, a common procedure, frequently fails or makes the problem worse.
  • Open surgery has very mixed results. 
  • Patients may end up worse after treatment than before. 
  • Patellofemoral problems are mechanical problems, pressure and instability. 
  • At one end of the spectrum, the patella is too tight, at the other end, too loose.
  • Successful treatment should return either problem to the middle – neither too tight nor too loose
  • Arthritic problems must be addressed as well as alignment and stability
PatellaMD.com will explain the problem, the underlying mechanical factors, typical symptoms, appropriate physical examination and x-rays, treatment that works, why treatment fails, and the approach to revision surgery.  The key importance of lateral side stability will be explained and documented.  There will be correlating x-rays, arthroscopic and surgical pictures.

I hope you will gain an understanding of patellofemoral problems from the information presented here.  I believe there are good solutions to these problems.  Thank you for visiting patellaMD. com.

              

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patellaMD.com
David Shneider MD
830 W. Lake Lansing Rd
East Lansing, MI  48823
517-333-3777
517-203-3956 Fax
doc@patellaMD.com

Update February 28, 2016

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