Isolated arthrosis of the patellofemoral joint in younger patients (<50 years)

In the majority of cases, arthrosis of the patellofemoral joint (PFJ) is combined with arthrosis of the femorotibial compartment and thus assumes a somewhat secondary role. Nevertheless, it can occur as an isolated entity. Several radiological studies evidenced isolated degenerative alterations in t...

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Bibliographic Details
Published in:Der Orthopäde 2008-09, Vol.37 (9), p.848, 850
Main Authors: Lustig, S, Servien, E, Biedert, R, Neyret, P
Format: Article
Language:ger
Subjects:
Arthroplasty, Replacement, Knee
Arthroscopy - methods
Biomechanical Phenomena
Cartilage, Articular - physiopathology
Femur - physiopathology
Femur - surgery
Humans
Osteoarthritis, Knee - diagnosis
Osteoarthritis, Knee - physiopathology
Osteoarthritis, Knee - surgery
Osteotomy - methods
Patella - physiopathology
Patella - surgery
Prognosis
Tomography, X-Ray Computed
Weight-Bearing - physiology
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Summary:In the majority of cases, arthrosis of the patellofemoral joint (PFJ) is combined with arthrosis of the femorotibial compartment and thus assumes a somewhat secondary role. Nevertheless, it can occur as an isolated entity. Several radiological studies evidenced isolated degenerative alterations in the PFJ in the age group >55 years (13.6-24.0% in women and 11.0-15.4% in men). In younger patients the incidence is lower and is mainly associated with patellar instability or post-traumatic arthrosis. Just the same, the choice of appropriate treatment for these patients is challenging. Total replacement can be recommended for older and less active patients. In contrast, for younger and more active patients, various conservative treatment options and more demanding operative techniques are available to the surgeon to avoid arthroplasty. This article describes the different therapeutic possibilities for managing arthrosis of the PFJ in patients aged
ISSN:0085-4530
DOI:10.1007/s00132-008-1291-8