TY - JOUR
T1 - The medial patellofemoral complex
AU - Loeb, Alexander E.
AU - Tanaka, Miho J.
N1 - Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Purpose of review: The purpose of this review is to describe the current understanding of the medial patellofemoral complex, including recent anatomic advances, evaluation of indications for reconstruction with concomitant pathology, and surgical reconstruction techniques. Recent findings: Recent advances in our understanding of MPFC anatomy have found that there are fibers that insert onto the deep quadriceps tendon as well as the patella, thus earning the name “medial patellofemoral complex” to allow for the variability in its anatomy. In MPFC reconstruction, anatomic origin and insertion points and appropriate graft length are critical to prevent overconstraint of the patellofemoral joint. Summary: The MPFC is a crucial soft tissue checkrein to lateral patellar translation, and its repair or reconstruction results in good restoration of patellofemoral stability. As our understanding of MPFC anatomy evolves, further studies are needed to apply its relevance in kinematics and surgical applications to its role in maintaining patellar stability.
AB - Purpose of review: The purpose of this review is to describe the current understanding of the medial patellofemoral complex, including recent anatomic advances, evaluation of indications for reconstruction with concomitant pathology, and surgical reconstruction techniques. Recent findings: Recent advances in our understanding of MPFC anatomy have found that there are fibers that insert onto the deep quadriceps tendon as well as the patella, thus earning the name “medial patellofemoral complex” to allow for the variability in its anatomy. In MPFC reconstruction, anatomic origin and insertion points and appropriate graft length are critical to prevent overconstraint of the patellofemoral joint. Summary: The MPFC is a crucial soft tissue checkrein to lateral patellar translation, and its repair or reconstruction results in good restoration of patellofemoral stability. As our understanding of MPFC anatomy evolves, further studies are needed to apply its relevance in kinematics and surgical applications to its role in maintaining patellar stability.
KW - MPFC
KW - MPFL
KW - Medial patellofemoral complex
KW - Medial patellofemoral ligament
KW - Patellar instability
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U2 - 10.1007/s12178-018-9475-2
DO - 10.1007/s12178-018-9475-2
M3 - Review article
C2 - 29728862
AN - SCOPUS:85046457751
SN - 1935-973X
VL - 11
SP - 201
EP - 208
JO - Current Reviews in Musculoskeletal Medicine
JF - Current Reviews in Musculoskeletal Medicine
IS - 2
ER -