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Salt Lake City Knee and Sports Medicine Foundation, Salt Lake City, Utah
Salt Lake City Knee and Sports Medicine Foundation, Salt Lake City, Utah
Salt Lake City Knee and Sports Medicine Foundation, Salt Lake City, Utah
Salt Lake City Knee and Sports Medicine Foundation, Salt Lake City, Utah
Salt Lake City Knee and Sports Medicine Foundation, Salt Lake City, Utah
Infrapatellar Contracture Syndrome (IPCS) is an infre quently recognized cause of posttraumatic knee mor bidity. Unique to this group of patients is the combina tion of restricted knee extension and flexion associated with patella entrapment. IPCS can occur primarily as an exaggerated pathologic fibrous hyperplasia of the anterior soft tissues of the knee beyond that associated with normal healing. It can also occur secondarily to prolonged immobility and lack of extension associated with knee surgery, particularly intraarticular ACL recon struction. IPCS follows a predictable natural history which is divided into three stages. Symptoms, diagnos tic findings, and recommended treatment are deter mined by the stage at presentation. Once beyond its early presentation, IPCS is best treated by an anterior intraarticular and extraarticular capsular debridement and release, followed by extensive rehabilitation. The authors review 28 consecutive cases of IPCS. At fol lowup 3 months to 4 years postoperation, the patients had averaged 2.3 additional surgical procedures follow ing their index procedure or injury.
The average increase in extension at followup was 12° with the average increase flexion 35°. Eighty per cent of patients demonstrated signs and symptoms consistent with patellofemoral arthrosis; 16% of the patients demonstrated patella infera. The authors con clude that prevention or early detection and aggressive treatment are the only ways of avoiding complication in these problem cases.
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K. D. Shelbourne, T. E. Klootwyk, J. H. Wilckens, and M. S. De Carlo Ligament Stability Two to Six Years After Anterior Cruciate Ligament Reconstruction with Autogenous Patellar Tendon Graft and Participation in Accelerated Rehabilitation Program Am. J. Sports Med., September 1, 1995; 23(5): 575 - 579. [Abstract] [PDF]
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A. J. Cosgarea, W. J. Sebastianelli, and K. E. DeHaven Prevention of Arthrofibrosis After Anterior Cruciate Ligament Reconstruction Using the Central Third Patellar Tendon Autograft Am. J. Sports Med., January 1, 1995; 23(1): 87 - 92. [Abstract] [PDF]
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L. E. Paulos, D. C. Wnorowski, and A. E. Greenwald Infrapatellar Contracture Syndrome: Diagnosis, Treatment, and Long-Term Followup Am. J. Sports Med., July 1, 1994; 22(4): 440 - 449. [Abstract] [PDF]
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R. A. Rubinstein JR, K. D. Shelbourne, C. D. VanMeter, J. C. McCarroll, and A. C. Rettig Isolated Autogenous Bone-Patellar Tendon-Bone Graft Site Morbidity Am. J. Sports Med., June 1, 1994; 22(3): 324 - 327. [Abstract] [PDF]
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J. G. Lane, D. M. Daniel, and M. L. Stone Graft Impingement After Anterior Cruciate Ligament Reconstruction: Presentation as an Active Extension "Thunk" Am. J. Sports Med., June 1, 1994; 22(3): 415 - 417. [Abstract] [PDF]
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A. J. Cosgarea, K. E. DeHaven, and J. E. Lovelock The Surgical Treatment of Arthrofibrosis of the Knee Am. J. Sports Med., March 1, 1994; 22(2): 184 - 191. [Abstract] [PDF]
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K. D. Shelbourne and G. E. Johnson Outpatient Surgical Management of Arthrofibrosis After Anterior Cruciate Ligament Surgery Am. J. Sports Med., March 1, 1994; 22(2): 192 - 197. [Abstract] [PDF]
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K. D. Shelbourne and G. E. Johnson Locked bucket-handle meniscal tears in knees with chronic anterior cruciate ligament deficiency Am. J. Sports Med., December 1, 1993; 21(6): 779 - 782. [Abstract] [PDF]
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S. M. Lephart, M. S. Kocher, C. D. Harner, and F. H. Fu Quadriceps strength and functional capacity after anterior cruciate ligament reconstruction: Patellar tendon autograft versus allograft Am. J. Sports Med., September 1, 1993; 21(5): 738 - 743. [Abstract] [PDF]
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S. E. Fisher and K. D. Shelbourne Arthroscopic treatment of symptomatic extension block complicating anterior cruciate ligament reconstruction Am. J. Sports Med., July 1, 1993; 21(4): 558 - 564. [Abstract] [PDF]
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J. Gillquist and M. Odensten Reconstruction of old anterior cruciate ligament tears with a Dacron prosthesis: A prospective study Am. J. Sports Med., June 1, 1993; 21(3): 358 - 366. [Abstract] [PDF]
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V. M. Romano, B. K. Graf, J. S. Keene, and R. H. Lange Anterior cruciate ligament reconstruction: The effect of tibial tunnel placement on range of motion Am. J. Sports Med., June 1, 1993; 21(3): 415 - 418. [Abstract] [PDF]
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B. S. Shaffer and J. E. Tibone Patellar tendon length change after anterior cruciate ligament reconstruction using the midthird patellar tendon Am. J. Sports Med., June 1, 1993; 21(3): 449 - 454. [Abstract] [PDF]
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K. Shino, S. Nakagawa, M. Inoue, S. Horibe, and M. Yoneda Deterioration of patellofemoral articular surfaces after anterior cruciate ligament reconstruction Am. J. Sports Med., March 1, 1993; 21(2): 206 - 211. [Abstract] [PDF]
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S. D. D'Agata, A. W. Pearsall IV, B. Reider, and L. F. Draganich An in vitro analysis of patellofemoral contact areas and pressures following procurement of the central one-third patellar tendon Am. J. Sports Med., March 1, 1993; 21(2): 212 - 219. [Abstract] [PDF]
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N. A. Sgaglione, W. Del Pizzo, J. M. Fox, and M. J. Friedman Arthroscopically assisted anterior cruciate ligament reconstruction with the pes anserine tendons: Comparison of results in acute and chronic ligament deficiency Am. J. Sports Med., March 1, 1993; 21(2): 249 - 256. [Abstract] [PDF]
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C. D. Harner, J. J. Irrgang, J. Paul, S. Dearwater, and F. H. Fu Loss of motion after anterior cruciate ligament reconstruction Am. J. Sports Med., September 1, 1992; 20(5): 499 - 506. [Abstract] [PDF]
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T. D. Rosenberg, J. L. Franklin, G. N. Baldwin, and K. A. Nelson Extensor mechanism function after patellar tendon graft harvest for anterior cruciate ligament reconstruction Am. J. Sports Med., September 1, 1992; 20(5): 519 - 526. [Abstract] [PDF]
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J. Noah, O. H. Sherman, and C. Roberts Fracture of the supracondylar femur after anterior cruciate ligament reconstruction using patellar tendon and iliotibial band tenodesis: A case report Am. J. Sports Med., September 1, 1992; 20(5): 615 - 618. [PDF]
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P. Aglietti, R. Buzzi, S. D'Andria, and G. Zaccherotti Long-term study of anterior cruciate ligament reconstruction for chronic instability using the central one-third patellar tendon and a lateral extraarticular tenodesis Am. J. Sports Med., January 1, 1992; 20(1): 38 - 45. [Abstract] [PDF]
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N. G.H. Mohtadi, S. Webster-Bogaert, and P. J. Fowler Limitation of motion following anterior cruciate ligament reconstruction: A case-control study Am. J. Sports Med., December 1, 1991; 19(6): 620 - 625. [Abstract] [PDF]
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R. A. Marder, J. R. Raskind, and M. Carroll Prospective evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: Patellar tendon versus semitendinosus and gracilis tendons Am. J. Sports Med., September 1, 1991; 19(5): 478 - 484. [Abstract] [PDF]
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K. D. Shelbourne, J. H. Wilckens, A. Mollabashy, and M. DeCarlo Arthrofibrosis in acute anterior cruciate ligament reconstruction: The effect of timing of reconstruction and rehabilitation Am. J. Sports Med., July 1, 1991; 19(4): 332 - 336. [Abstract] [PDF]
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J. A. Dodds, J. S. Keene, B. K. Graf, and R. H. Lange Results of knee manipulations after anterior cruciate ligament reconstructions Am. J. Sports Med., June 1, 1991; 19(3): 283 - 287. [Abstract] [PDF]
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P. A. Kolowich, L. E. Paulos, T. D. Rosenberg, and S. Farnsworth Lateral release of the patella: Indications and contraindications Am. J. Sports Med., July 1, 1990; 18(4): 359 - 365. [Abstract] [PDF]
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K. D. Shelbourne and P. Nitz Accelerated rehabilitation after anterior cruciate ligament reconstruction Am. J. Sports Med., June 1, 1990; 18(3): 292 - 299. [Abstract] [PDF]
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R. T. Burks, R. C. Haut, and R. L. Lancaster Biomechanical and histological observations of the dog patellar tendon after removal of its central one-third Am. J. Sports Med., March 1, 1990; 18(2): 146 - 153. [Abstract] [PDF]
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