medigraphic.com
SPANISH

Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2010, Number 2

<< Back Next >>

Acta Ortop Mex 2010; 24 (2)

Clinical association between patellofemoral pain with arthroscopic findings

Negrete CS, Negrete CJ, Chávez HE, Bequer PF
Full text How to cite this article

Language: Spanish
References: 12
Page: 84-87
PDF size: 149.01 Kb.


Key words:

pain, knee, arthrosis, arthroscopy.

ABSTRACT

The purpose of this study was to associate patellofemoral pain with the findings of arthroscopic procedures. A visual analogue scale was used considering that 1 represented no pain and 10 severe pain, the functional Lysholm scale for function, and the Outerbridge classification to determine the grade of the articular cartilage lesion. Material and methods: The study population was composed of an heterogeneous group of patients with chondral lesions. This is a retrospective, observational and longitudinal study undertaken for a period of 18 months. Sixty-nine patients had patellofemoral pain, and traumatic knee injuries were excluded. Results: Sixty-eight patients were found to have a chondral lesion, only one patient did not. In the latter only loose body removal was performed. The most frequent procedure was articular lavage, debridement and chondroplasty in 98.5%. Thirty-five patients were found to have knee arthrosis grade IV (50.7%); the broadest functional improvement range occurred in patients with arthrosis grades I and III. Discussion: Patients with mild-to-moderate knee arthrosis grades I to III are the ones with the highest chance of success from the perspective of pain relief and functionality of arthroscopic surgery.


REFERENCES

  1. William R: Post, dolor anterior de rodilla diagnóstico y tratamiento. J Am Acad Orthop Surg (Ed Esp) 2006; 5: 61-71.

  2. Mihalko WM, Boachie-Adjei Y, Spang JT, Fulkerson JP, Arendt EA, Saleh KJ: Controversies and techniques in the surgical management of patellofemoral arthritis. Bone Joint Surg 2007; 89: 2788-802.

  3. Sanchis-Alfonso V: Anterior knee pain and patellar instability, chapter 1, Background: Patellofemoral malalignment versus tissue homeostasis myths and truths about patellofemoral disease Springer-Verlag London Limited, Department of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia Spain. 2006: 3-20.

  4. Lorio R, Healy WL: Unicompartmental arthritis of the knee, J Bone Joint Surg Am 2003; 85: 1351-64.

  5. Kocher MS, Steadman JR, Briggs KK, Sterett WI, Richard J. Hawkins RJ: Reliability, validity and responsiveness of the Lysholm knee scale for various chondral disorders of the knee. Bone Joint Surg 2004; 86A: 1139-45.

  6. Dervin GF, et al: Effect of arthroscopic debridement for osteoarthritis of the knee on health-related quality of life. The Journal of Bone and Joint Surgery 2003; 85: 10-9.

  7. McGinty JB, Johnson LL, Jackson RW, McBryde AM, Goodfellow JW: Uses and abuses of arthroscopy: a symposium. J Bone Joint Surg 1992; 74A: 1563-70.

  8. Peccin MS, Ciconelli R, Cohen M: Specific questionnaire for knee symptoms - the “Lysholm Knee Scoring Scale” translation and validation into Portuguese. Act Ortop Bras 2006; 14(5): 268-72.

  9. Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ: Reliability, validity and responsiveness of the Lysholm knee scale for various chondral disorders of the knee. Bone Joint Surg 2004: 1139-45.

  10. Briggs KK, Kocher MS, Rodkey WG, Steadman JR: Reliability, validity and responsiveness of the Lysholm knee score and tegner activity scale for patients with meniscal injury of the knee. Bone Joint Surg 2006; 698-705.

  11. Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP: Arthroscopic lavage or debridement did not reduce pain more than placebo did in patients with osteoarthritis. J Bone Joint Surg 2003; 85A: 387.

  12. Kettunen JA, Harilainen A, Sandelin J, Schlenzka D, Hietaniemi K, Seitsalo S, Malmivaara A, Kujala UM: Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial. BMC Medicine. 2007; 5: 38.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Ortop Mex. 2010 Mar-Abr;24