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Author Topic: Torn medial patellar retinaculum  (Read 3052 times)

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Offline tabersteve

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Torn medial patellar retinaculum
« on: June 26, 2012, 02:23:34 AM »
For a torn medial patellar retinaculum, is surgery always necessary, or can PT fix it?  Since some patients intentionally have this part of the connective tissue severed (in a lateral release), does the medial patellar retinaculum need to be repaired at all?

Offline kneepaincure

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Re: Torn medial patellar retinaculum
« Reply #1 on: June 26, 2012, 02:38:46 AM »
In a lateral release, it is the lateral retinaculum that is cut, not the medial one. I don't think that if the medial one is torn, it can be fixed by PT alone unless maybe if it's a minor tear.
Have had tilted kneecaps for many years, and occasional patellar tendinitis.

Offline allyd

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Re: Torn medial patellar retinaculum
« Reply #2 on: June 26, 2012, 02:39:39 AM »
PT can fix it for some people. Definitely should be (and usually is) the first course of treatment.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline aaa

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Re: Torn medial patellar retinaculum
« Reply #3 on: June 26, 2012, 02:52:12 AM »
Might be useful info here - http://www.healio.com/orthopedics/knee/news/print/orthopedics-today/%7BF3A20A13-96EC-433C-89DD-11CFAC6E946E%7D/MPFL-reconstruction-for-patellar-instability-in-younger-patients-Saveit-for-the-recurrent-dislocators

The consensus seems to be reconstructions are reserved for chronic instability -- although there are a few cases where immediate repair/reconstruction are performed, but it sounds like that is an unusual scenario.















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