APEX Knee Navigating Pearls and Pitfalls-Critical Clinical Assessment of Patellofemoral Patient

Video Transcription

Video Summary

In this video, the speaker discusses the critical clinical assessment of patellar femoral patients. The talk emphasizes the importance of assessing patellar stability and mobility, as well as identifying contributing factors. Risk factors for patellar instability include trochlear dysplasia, patella alta, bony malalignment, and ligamentous laxity. The video explains the difference between dislocation, subluxation, maltracking, and laxity. The speaker discusses various assessments, such as gait analysis, range of motion, ligamentous examination, Q angle measurement, muscle strength assessment, Baton score for generalized laxity, glide test, apprehension test, patellar tilt test, and J sign evaluation. The importance of imaging, including x-rays and MRI, is highlighted, especially for assessing patellar height, trochlear dysplasia, and osteochondral injuries. CT imaging, including 4D CT, can also be useful for quantifying maltracking. Overall, the talk emphasizes the multifactorial nature of patellar femoral disorders and the need for a comprehensive assessment to guide personalized treatment.

Asset Caption

Dr. Miho Tanaka

Keywords

patellar instability

clinical assessment

trochlear dysplasia

gait analysis

imaging techniques