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Author Topic: bone spurs of the patella  (Read 7071 times)

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Offline bobsled

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bone spurs of the patella
« on: March 18, 2011, 12:03:29 AM »
i have bone spurs on both patella.  i've had x rays and they are very apparent.  also, the patellar tendon/ligaments are both affected.  i am a 50 year old competitive athlete and former elite level athlete.

my quads are very strong and my vmo are both firing. 

yesterday, i had cortisone in both knees and it seems to have made a difference....  although, i'm not sure how much.

what are my treatment options....  synvisc, PRP, lateral release, scope for a clean up....  am i missing anything?

Offline TOMMAX

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Re: bone spurs of the patella
« Reply #1 on: March 18, 2011, 05:18:27 AM »
Where exactly are the bone spurs on your patella? What type of xrays reveiled the abnormalities?

I have a corticated bone density/ ossification adjacent to the medial aspect of the patella, right underneath the medial patella femoral ligament which is quite irriating for me and Im not sure how to get relief either. I had a lateral release almost 1 yr ago which have made my problems much much worse since it has now put increased pressure on my medial patella femoral jointline, the initial area of pain before my surgery.
March 2005: LK Plant & twist injury (full lateral patellar dislocation)
April 2010: LK scope (LRR, posteriolateral meniscus, medial plica)
Current: Medial instability
May 24, 2012: LPFL + MPFL recon scheduled

cdubb

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Re: bone spurs of the patella
« Reply #2 on: March 18, 2011, 06:10:27 AM »
You'd need to speak to your Dr. about specifics based on your diagnostics and what level of activity you can maintain with what you have.  I personally had a large spur on my patella and was able to have a patella ACI (autologous chondrocyte implantation) along with a anteromedialization of my tibial tuburcle (an osteotomy to realign and unload my patella).  The bone spur though was not visible on an x-ray and actually was not even noted at the time of my ACI biopsy scope even though the defect was debrided.  When my ortho was fully debriding my defect, he noted a large spur that had to be ground down before the ACI patch could be sewn on, as blood is toxic to the cells that would be transplanted.   That being said, having a spur is not the ideal situation for an ACI, but since it was done, it still can be done.  That was an option for me for my grade 4 chondral defect on my patella. 

That being said, I am only 31, so there would be more of a focus on restoration of cartilage.  I do not believe that at 51 that they do ACI, but I did see someone else posting that they were having DeNovo NT to treat their cartilage damage. 

You could try a clean up, but it probably won't help considerably and if it doesn't, it probably wouldn't for long.  You could also try viscosupplementation (Supartz, Synvisc, Orthovisc, etc.), which you already are aware of based on your posting.  I had Supartz on my right knee (not the one I just had the ACI/AMZ on) and did not appreciate much of a difference.  Although, since my left completely tanked very rapidly and is the one I had surgery on....perhaps it is providing more benefit than I am giving it credit for. 

I would speculate your doc would want you to continue with the conservative measures for as long as you can before considering other surgical options which could be a PKR, TKR or a TT (what I had).