Chondral Lesions of the Patella

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Journal of Clinical Orthopaedics | Vol 5 | Issue 1 |  Jan-Jul 2021 | page: 65-73 | Deepak Goyal

Author: Deepak Goyal [1]

[1] Saumya Arthroscopy & Sports Knee Clinic, 201, Viva Atelier, Opp B D Patel House, Naranpura, Ahmedabad, India: 380014
[2] Visiting Professor of Orthopaedics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

Address of Correspondence
Dr. Deepak Goyal,
Saumya Arthroscopy & Sports Knee Clinic, 201, Viva Atelier, Opp B D Patel House, Naranpura, Ahmedabad, India: 380014
E-mail: deepak@knee.in

Abstract

Background: The articular cartilage injuries of the patella are increasingly being reported, being more common in young population and are mostly associated with abnormal biomechanics. The abnormal biomechanics could be an instability, a maltracking or a patellofemoral overload. It is not uncommon to have a mixture of abnormal alignment and abnormal loading, making understanding of the patellofemoral biomechanics more difficult. Abnormal biomechanics put different types of biomechanical forces on the patella leading to the chondral damage. The patellar cartilage lesions usually show different patterns based on these different biomechanics. It is very important to understand the biomechanics of patella before treating the patellar cartilage lesion. A consideration to correct the abnormally aligned or loaded patella is an important step while treating a patellar chondral defect. The purpose of this article is to review the concepts behind occurrence of patellar chondral lesions and the biomechanics behind it, decision making with a brief overview of the treatment strategies.
Keywords: Chondral Lesion, Patella, Maltracking, biomechanics

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How to Cite this article: Goyal D. Chondral Lesions of the Patella. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):65-73.

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