Advertisement - Hide this advert





Author Topic: Retinacular release?  (Read 1161 times)

0 Members and 1 Guest are viewing this topic.

Offline nzchik

  • MINIgeek (20-50 posts)
  • **
  • Posts: 33
  • Liked: 0
Retinacular release?
« on: March 27, 2008, 09:02:59 PM »
Hi all, I had a lateral retinacular release done in 2004 as my patella was sitting to the right of the patella groove, since then I have had two subsequent surgeries (for scar tissue, bone spurs and the like) and have recently blown out my knee again. After seeing a PT recently she is concerned that my patella is sitting far to far to the left of the patella groove which is causing most of my pain (as soon as it was strapped back into place my pain reduced dramaticallly!). Has anyone else had this experinece of trying to fix it one way, and making it go too far the other? Any ideas on what i can do to help this would be greatly appreciated!
May 02: ACL rupture
Nov 02: ACL recon
Oct 04: Reinicular Release
June 06: Meniscal debribement
June 07: Arthroscopy
Feb 08: rerupture ACL, tear MCL, cartilage x2
Aug 08: tidy up
Nov 09: ACLr redo with allograft
Aug 11: ACL rupture #3
Mar 12: ACL recon stage 1 bone grafts. Knee pretty much shagged

Offline WorkinWings

  • Forum Faithful
  • ****
  • Posts: 354
  • Liked: 0
  • Fixed my failed lateral release: back to flying!
    • Failed lateral release: medial subluxation of the patella
Re: Retinacular release?
« Reply #1 on: March 27, 2008, 09:55:13 PM »
Hi NZChick!

Which leg was the lateral release done on?

I assume you are saying that you had a lateral release done on your right knee because your patella used to slip to the right, or to the outer side of your leg (it subluxed laterally).  If that is correct, and the patella is now going to the left, or to the inside of your leg, then that would mean that it is now subluxing medially...  That is a possible late complication of your lateral release, and it would cause you pain and other difficulties. 

A few of us on this board have developed medial subluxation as a complication of a LR.  Maybe you can look that term up on the board to see if our problems sound familiar to you. 

You would also need to see an OS, and hopefully you might be able to find someone with a lot of experience with this kind of problem (a patello-femoral specialist), as it can be very tricky to correct. 

But yes, one thing that I think most of us have indeed found helpful for this is the type taping that your PT did.  You can also try to use a patellar stabilizing brace, with the buttress positioned on the medial side.  This would basically do the same as the taping, and might be easier on your skin, and to take on and off.  Others prefer the tape.

Let us know how you do.

Good luck,

Angela
Feb'00: Twisting injury (w/"pop")
dx - bone bruise of lateral tibial plateau
Apr'00 to May'07: intermittent pain; NO instability
7/May/07: Lateral Release (which created instability)
17/Jan/08: dx - iatrogenic medial patellar subluxation s/p LR
16/Jan/09: Back to function!
[email protected]

Offline nzchik

  • MINIgeek (20-50 posts)
  • **
  • Posts: 33
  • Liked: 0
Re: Retinacular release?
« Reply #2 on: March 28, 2008, 12:22:35 AM »
Hi,
Thanks for your reply and sorry about the confusion. I had it done to my left knee as my patella was tending inwards (right). now it is tending towards the outside (left)
May 02: ACL rupture
Nov 02: ACL recon
Oct 04: Reinicular Release
June 06: Meniscal debribement
June 07: Arthroscopy
Feb 08: rerupture ACL, tear MCL, cartilage x2
Aug 08: tidy up
Nov 09: ACLr redo with allograft
Aug 11: ACL rupture #3
Mar 12: ACL recon stage 1 bone grafts. Knee pretty much shagged

Offline WorkinWings

  • Forum Faithful
  • ****
  • Posts: 354
  • Liked: 0
  • Fixed my failed lateral release: back to flying!
    • Failed lateral release: medial subluxation of the patella
Re: Retinacular release?
« Reply #3 on: March 29, 2008, 12:39:04 PM »
Hi KiwiGirl!  :D
Sorry for the mix up, too... But, wow... now I'm even more confused!  I don't understand a lateral release done for medial instability... Maybe someone else can jump in and clue me in?
Feb'00: Twisting injury (w/"pop")
dx - bone bruise of lateral tibial plateau
Apr'00 to May'07: intermittent pain; NO instability
7/May/07: Lateral Release (which created instability)
17/Jan/08: dx - iatrogenic medial patellar subluxation s/p LR
16/Jan/09: Back to function!
[email protected]

Offline nzchik

  • MINIgeek (20-50 posts)
  • **
  • Posts: 33
  • Liked: 0
Re: Retinacular release?
« Reply #4 on: March 29, 2008, 10:33:17 PM »
Sorry about that, after re-reading those posts im not so sure that i even had a lateral retinacular release, that is what my OS called it, and i just accepted it, but now thinking more about it, he was cutting on the medial side! HMMM!
May 02: ACL rupture
Nov 02: ACL recon
Oct 04: Reinicular Release
June 06: Meniscal debribement
June 07: Arthroscopy
Feb 08: rerupture ACL, tear MCL, cartilage x2
Aug 08: tidy up
Nov 09: ACLr redo with allograft
Aug 11: ACL rupture #3
Mar 12: ACL recon stage 1 bone grafts. Knee pretty much shagged

Offline WorkinWings

  • Forum Faithful
  • ****
  • Posts: 354
  • Liked: 0
  • Fixed my failed lateral release: back to flying!
    • Failed lateral release: medial subluxation of the patella
Re: Retinacular release?
« Reply #5 on: March 29, 2008, 11:36:15 PM »
Ooooh, OK! Let's try this again...   ;)

Maybe you had a medial retinacular release?  That might make sense...

Try reading this:
http://ajs.sagepub.com/cgi/content/abstract/35/7/1180
(Results of Arthroscopic Medial Retinacular Release for Treatment of Medial Subluxation of the Patella)

You can look up more info at KneeGuru, and ask questions here at KneeGeeks to see if anyone understands your issue now (using the new term?)

Try posting under "The patello-femoral joint" section and you might get more replies, because that is where all of us "Patella-peeps" go  ;)

Good luck! Third time's the charm!  ;D

Angela
Feb'00: Twisting injury (w/"pop")
dx - bone bruise of lateral tibial plateau
Apr'00 to May'07: intermittent pain; NO instability
7/May/07: Lateral Release (which created instability)
17/Jan/08: dx - iatrogenic medial patellar subluxation s/p LR
16/Jan/09: Back to function!
[email protected]

Offline nzchik

  • MINIgeek (20-50 posts)
  • **
  • Posts: 33
  • Liked: 0
Re: Retinacular release?
« Reply #6 on: March 30, 2008, 03:48:15 AM »
thanks for that!
May 02: ACL rupture
Nov 02: ACL recon
Oct 04: Reinicular Release
June 06: Meniscal debribement
June 07: Arthroscopy
Feb 08: rerupture ACL, tear MCL, cartilage x2
Aug 08: tidy up
Nov 09: ACLr redo with allograft
Aug 11: ACL rupture #3
Mar 12: ACL recon stage 1 bone grafts. Knee pretty much shagged















support