The Patellofemoral Foundation (PFF) Board of Directors met in San Francisco at the American Academy of Orthopedic Surgeons meeting on March 6, 2008. Representatives from our major benefactor, Smith and Nephew Endoscopy, attended as well as Lieve Van den Berghe, Vice Preident of DJO International and organizer of the Patellofemoral Consensus Group. The AAOS meeting was a great opportunity for Patellofemoral Board Members to fulfill part of our mission to enhance awareness of patellofemoral problems and provide focused educational opportunities for health care professionals about prevention and proper care of patients and athletes with patellofemoral pain and instability.
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At the PFF Board meeting on March 6, 2008, members of the Board welcomed Philippe Neyret, M.D., of Lyon France to the Board of Directors.
Dr. Neyret is Professor and Chief of Orthopedics Department in Lyon (France), after the famous Alfred Trillat and Henri Dejour. The Lyon school is known for its expertise in the field of knee surgery and particularly patellofemoral disorders. The Lyon team has published results of many clinical investigations and books. Dr. Neyret serves many prestigious international societies such as ISAKOS, ESSKA, EFORT... He has particular interest in sport and soccer injuries.
For a full list of Patellofemoral Foundation Board of Directors click here.
Patellofemoral General Agreement Statement from the PFF/ IPSG Consensus meeting sponsored by DJO International on March 6, 2008
- Focal loading can be a cause of PF pain.
- Overuse or at times cyclical overload of soft tissue or bone areas may explain the unusual and sometimes ill defined nature of anterior knee pain in some patients (Dye theory of envelope of load acceptance) Treatment should establish load reduction.
- Patellofemoral imbalance (including but not limited to malalignment) may cause pain by virtue of cyclical soft tissue and/or bone overload.
- Focal supraphysiological loading can, in some patients, be a cause of PF pain.
- Structural damage of articular cartilage does not always result in anterior knee pain. However, there is growing evidence that a subset of patients with chondral lesions may have a component of their pain related to that lesion.
There are many alternatives for non-operative PF pain treatment that should be considered some of which may include medications that affect neural pain transmission.
History, exam, imaging and response to treatment (differential injection, specific unloading, medication and multidisciplinary evaluation) should correlate well and be consistent in order to localize pathology and to make a precise diagnosis. Treatment should be developed based on the most precise diagnosis possible. Persistence of pain may be related to inaccurate appraisal of the cause of pain and/or inappropriate treatment decisions, patient non-compliance or complications of surgical treatment.
A patient’s active participation and understanding in his/her treatment is necessary for optimal results.