Anterior Knee Pain and Patellar Instability
Anterior knee pain and patellar instability is the most common pathology of the knee. Nevertheless, it is the most neglected, the least known and the most problematic. Our knowledge of its etiopathogeny is also limited, with the consequence that its treat
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Vicente Sanchis-Alfonso (Ed)
Anterior Knee Pain and Patellar Instability With 240 Figures including 108 Color Plates
Vicente Sanchis-Alfonso, MD, PhD (Member of the International Patellofemoral Study Group/Member of the ACL Study Group) Department of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia Spain
British Library Cataloguing in Publication Data Anterior knee pain and patellar instability 1. Patellofemoral joint - Dislocation 2. Patella Dislocation 3. Knee - Diseases 4. Knee - Wounds and injuries 5. Knee - Surgery 6. Pain - Physiological aspects I. Sanchis-Alfonso, Vicente 617.5′82 ISBN-10: 1846280036 Library of Congress Control Number: 2005925983 ISBN-10: 1-84628-003-6 ISBN-13: 978-1-84628-003-0
e-ISBN 1-84628-143-1
Printed on acid-free paper © Springer-Verlag London Limited 2006 First published in 2003 as Dolor anterior de rodilla e inestabilidad rotuliana en el paciente joven. This Englishlanguage edition published by arrangement with Editorial Médica Panamericana S.A. Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case, the respective user must check its accuracy by consulting other pharmaceutical literature. Printed in Singapore
(SPI/KYO)
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To my father. In memoriam (†)
Foreword
Anterior knee pain is one of the really big problems in my specialty, sports orthopaedic surgery, but also in all other types of orthopaedic surgery. Many years ago Sakkari Orava in Finland showed that among some 1311 Finnish runners, anterior knee pain was the second most common complaint. In young school girls around 15 years of age, anterior knee pain is a common complaint. In ballet classes of the same age, as much as 60-70% of the students complain of anterior knee pain. It is therefore an excellent idea of Dr. Sanchis-Alfonso to publish a book about anterior knee pain and patello-femoral instability in the active young. He has been able to gather a group of extremely talented experts to help him write this book. I am particularly happy that he has devoted so much space to the non-operative treatment of anterior knee pain. During my active years as a knee surgeon, one of my worst problems
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