Key result
Direct lateral patellar retinaculum repair resolves iatrogenic medial patellar subluxation in a single case.
Why the study?
Recognition and treatment of iatrogenic medial subluxation of the patella following lateral retinacular release is difficult, including diagnosis by MRI.
Case Report (n=1)
Direct repair of the lateral patellar retinaculum can successfully treat iatrogenic medial subluxation of the patella following lateral release.
Brace-assisted diagnosis with direct repair may relieve iatrogenic medial patellar subluxation symptoms; leaves open need for prospective validation.
The recognition and treatment of iatrogenic medial subluxation of the patella following lateral retinacular release may be difficult. The diagnosis even by magnetic resonance imaging may be difficult. The use of a medial patellar stabilising brace may be helpful in the diagnosis, alleviating symptoms in the short term and to gain the confidence of the patient. A technique of direct repair that was used successfully is described in a case report.
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Johnson et al. (2002) conducted a case report in Iatrogenic medial subluxation of the patella following lateral retinacular release (n=1). Direct repair of the lateral patellar retinaculum was evaluated on Successful repair. Direct repair of the lateral patellar retinaculum was used successfully to treat iatrogenic medial subluxation of the patella following lateral release in a single case.
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