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Medial patellar ligament desmotomy (MPD) is frequently used in the treatment of dorsal patellar fixation (Ducharme, 2004; Kramer, 2006).
Clinical and radiographic evaluation of partial and complete desmotomy of anterior patellar ligament along with medial patellar desmotomy in buffalo calvesAn experimental study.
Influence of patellar ligament insertion angle on quadriceps usage during walking in anterior cruciate ligament reconstructed subjects.
The patellar ligament attaches the quadriceps muscle of the thigh to the top of the tibia (shinbone).
The extensor mechanism of the knee comprises the quadriceps muscles and tendon, the patella, the patellar ligament and the supporting retinaculum.
The two most commonly used grafts are the central third of the patellar ligament and the hamstring (gracilis and semitendinosus) tendons [2].
Briefly, this model uses the following subject specific input variables obtained from standard biomechanical analyses (lower extremity kinematics, net knee joint moment, hamstring and gastrocnemius EMG), and magnetic resonance imaging (lever arm of the extensor mechanism, vasti muscle physiological cross-sectional area proportions, vasti muscle fiber orientation, patellar ligament orientation, and patella flexion angle.
The infrapatellar fat pad is located posterior to the lower, deep surface of the patella, the patellar ligament and adjoining fibrous joint capsule.
Type-4: Supra condylar ridge, lateral condyle, capsule of knee joint and lateral patellar ligament.
Contract notice: Screws for acl patellar ligament graft and 2 fiber femoral graft fixation.
The examiner should also rule out other potential causes of anterior knee pain, such as patellar ligament, quadriceps tendon, pes anserine, hip, or lumbar spine diseases.