Arthroscopy in patients with recalcitrant retropatellar pain syndrome.

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ID: 78068
1989
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Abstract
The purpose of this study was to determine the arthroscopic findings in patients with recalcitrant retropatellar pain syndrome (RPPS) and correlate them with the patient's long-term clinical course. All patients undergoing arthroscopy for recalcitrant retropatellar pain syndrome were evaluated. Patients were excluded from the study if there was any history consistent with a meniscal or cruciate injury or if they had previously had knee surgery. Long-term follow-up was obtained in 41 of 81 patients (51%) (range, 24 to 73 months; mean, 51 months). The arthroscopic findings were recorded, and the status of chrondral surfaces graded and correlated with clinical ratings, which utilized a modification of the Insall rating system. Debridement of cartilage irregularities was performed routinely. At follow-up, nearly equal numbers of patients improved, stayed the same, or got worse. No correlation was seen between the findings at arthroscopy and the long-term results. Debridement of cartilage lesions was not found to be beneficial as a treatment modality. Missed intra-articular pathology was found at arthroscopy in only two (4%) of the 81 patients. Based on this study, conservative treatment remains the treatment of choice.
Reference Key
osgood1989arthroscopyorthopaedic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Osgood, J C;Kneisl, J S;Barrack, R L;Alexander, A H;
Journal orthopaedic review
Year 1989
DOI
DOI not found
URL URL not found
Keywords
prognosis osteoarthritis knee arthroscopy arthroplasty artroplastia artroscopia artrosis pronóstico rodilla

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