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Author Topic: lateral release suggested despite normal patellar tracking  (Read 204 times)

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Offline crockedknee

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lateral release suggested despite normal patellar tracking
« on: June 04, 2018, 10:32:49 PM »
I have grade 4 chondromalacia with approx 2cm by 2cm area of full thickness cartilage loss to median patellar ridge (bottom edge of underside of kneecap) and the lateral half of the medial patellar facet on my right knee. My consultant - though not pushy at all - has advised he thinks my pain can be improved and I could get back to sport (anything but road running, he said) if he performs a lateral release, he says to relieve the pressure on the affected section and slightly alter the tracking. The more I read into this, however, the odder it sounds, as I can only find that lateral release is for tracking issues, and there was no evidence on examination of my knee or in an MRI of tracking issues. Has anyone had or know of using lateral release where there are no tracking issues? I've not decided on the op yet, and am cautious given I've had two arthroscopies (2004 and 2010) on the same knee for the kneecap issues, which failed to resolve the problem (the first op in 2004 made the problem significantly worse and it's maintained that level since.. 2010 op made no difference). Thanks 

Offline Vickster

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Re: lateral release suggested despite normal patellar tracking
« Reply #1 on: June 04, 2018, 11:04:08 PM »
You'll find a number of resources about LR in the Learning portfolio, it can be helpful in a very narrow indication as you've heard, but it can also have very bad consequences such as major instability, so be very well informed

I think you need to maybe seek out a patella specialist (e.g. If in U.K. someone like Jonathan Eldridge in Bristol). Again in the learning portfolio there's a who's who list by specialism
« Last Edit: June 04, 2018, 11:06:09 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline crockedknee

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Re: lateral release suggested despite normal patellar tracking
« Reply #2 on: June 04, 2018, 11:29:41 PM »
Many thanks. That's useful.

You'll find a number of resources about LR in the Learning portfolio, it can be helpful in a very narrow indication as you've heard, but it can also have very bad consequences such as major instability, so be very well informed

I think you need to maybe seek out a patella specialist (e.g. If in U.K. someone like Jonathan Eldridge in Bristol). Again in the learning portfolio there's a who's who list by specialism

Offline frustrated101

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Re: lateral release suggested despite normal patellar tracking
« Reply #3 on: June 14, 2018, 02:03:39 AM »
Maybe work on quad strength with leg weights.  A surgeon can bring your pain from and 8 to a 5 but if your at a 1 or 2 it will most likely make things worse, IMHO. 
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