Thèse Médecine Paris 1885 numéro 14.

Thesis (Ph. D.)--Ohio State University, 1980. / Includes bibliographical references (leaves 132-139). Available online via OhioLINK's ETD Center.

Thesis (Ph. D.)--University of Wisconsin--Madison, 1933. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 22-24).

Thesis (D.PT.)--Sage Colleges, 2010. / "May 2010." "A Capstone project for PTY 768 presented to the faculty of The Department of Physical Therapy Sage Graduate School in partial fulfillment of the requirements for the degree of Doctor of Physical Therapy." Includes bibliographical references.

Hamburg, University, Diss., 2003.

Thesis (D.PT.)--Sage Colleges, 2010. / "May 2010." "A Capstone project for PTY 768 presented to the faculty of The Department of Physical Therapy Sage Graduate School in partial fulfillment of the requirements for the degree of Doctor of Physical Therapy." Includes bibliographical references.

The main purpose of this study was to determine which method of tendon rehabilitation - the "eccentric squat" exercise or the universal gym "leg extension/leg curl" exercise produces a more significant result in terms of recovery in the treatment of chronic patellar tendonitis. A second objective was to determine if a relationship existed between patients who presented with patellar tendonitis and certain biomechanical malalignments and/or muscle imbalances that those patients might have possessed. Nineteen patients with chronic patellar tendonitis were studied. They were selected on the basis that they had a history of athletic participation, wore no orthotics and had had the symptoms of patellar tendonitis greater than four weeks. Subjects were randomly placed in either of two groups: training using the "eccentric squat" exercise or training using the "leg extension/ leg curl" exercise. Subjects were clinically and biomechanically examined by a physician and placed on the twelve week exercise program. They were examined and tested at 0, 6 and 12 weeks. Testing included the following variables: thigh circumference measured 4.4 and 10 centimeters above the medial knee joint line, quadricep and hamstring moment of force as measured on the Cybex at 30 degrees per second and a subjective evaluation of pain rated on a scale from 1 to 10. There was no significant difference between the groups in either quadricep or hamstring moment of force, however hamstring moment of force significantly increased in both groups. There was a significant difference in pain ratings between the groups averaged over the three testing sessions (p <0.01). The group training with the "eccentric squat" exercise decreased in pain more than the group performing the "leg extension/leg curl" exercise. Also, the "eccentric squat" group produced twice as many "pain free" subjects at the end of the program than the other group. With the retrospective clinical data on the 129 patellar tendonitis patients seen at the B.C. Sports Medicine Clinic over a three year period, it appears that the average structural malalignment of the patellar tendonitis patient is no different from the average biomechanical problems any athlete may present with who has any number of difference overuse problems. It appears indicated to recommend the use of the "eccentric squat" exercise as an approach towards the conservative management of chronic patellar tendonitis. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

Patellaluxationen sind eine vor allem bei jungen, aktiven Patienten häufige Verletzung komplexer Ätiologie. Die Rekonstruktion des medialen patellofemoralen Ligaments (MPFL) ist die aktuell etablierte Operationstechnik bei strecknaher patellofemoraler Instabilität, zu der in der Literatur eine Vielzahl an patellaren Fixationstechniken des autologen Sehnentransplantates beschrieben werden. In dieser Studie wurden 71 Patienten 5 Jahre nach Rekonstruktion des MPFLs mit patellarer Fixation in Weichteiltechnik nachuntersucht und die klinischen Ergebnisse der Operationsmethode und die Zufriedenheit der Patienten ermittelt. Dafür wurde die Reluxationsrate ermittelt und die Funktion der Kniegelenke im Alltag mithilfe des Kujala- und des Lysholm-Fragebogens, das Aktivitätsniveau der Patienten mit der Tegner-Aktivitätsskala erfasst. Im Rahmen einer Nachuntersuchung wurden die Beweglichkeit des Kniegelenks und die Stabilität der Kniescheibe klinisch untersucht. Die Ergebnisse wurden unter Berücksichtigung klinischer und radiologischer Risikofaktoren ausgewertet. Die Studie ergab eine Reluxationsrate von 5,6% und ist somit vergleichbar mit der Rate anderer in der Literatur beschriebener Techniken. Die Ergebnisse der klinischen Untersuchung ergaben eine stabile ligamentäre Führung der Kniescheibe bei insgesamt guter Beweglichkeit der Kniegelenke, die Auswertung der Fragebögen zeigten signifikante Verbesserungen der Funktion der operierten Kniegelenke im Alltag bei unverändertem Aktivitätsniveau. Im Ergebnis kann durch die vorliegende Studie belegt werden, dass durch die Rekonstruktion des MPFL mit weichteiliger patellarer Fixation langfristig gute Ergebnisse bei einer niedrigen Komplikationsrate erzielt werden können. Allerdings erhöht das Zusammentreffen verschiedener Pathologien wie eine Patella alta mit einer ausgeprägten Dysplasie der Trochlea das Risiko für eine persistierende Instabilität und eine erneute Luxation. / Patellar luxation is an injury of young and active patients with a complex etiology. The reconstruction of the medial patellofemoral ligament (MPFL) is a well-established surgical technique for patellar instability. Lots of different patellar fixation techniques for the autologous transplant are described. This study investigated the redislocation rate and functional outcome at a minimum follow-up of five years after medial patellofemoral ligament reconstruction with soft tissue patellar fixation. 71 patients were included and the daily knee function was measured with Kujala and Lysholm questionnaires and the level of activity with Tegner Score. The knee joints were examined clinically. The results were analyzed in consideration of clinical and radiology risk factors. This study showed a redislocation rate of 5.6 % after a mean follow up of 5.8 years, the clinical examination of the knee a satisfying patellar stability and a good range of motion. The operation leads to an increased daily knee function, the activity remains on the same level. In summary, this technique of MPFL reconstruction with soft tissue patellar fixation leads to significant improvement of the knee function and has a low long term redislocation and complication rate. However, patients with high-grade trochlear dysplasia and patella alta have a higher risk for persistent patellar instability or redislocation.

No description available.

Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2000. / Purpose. Patellofemoral pain syndrome (PFPS) refers to a syndrome associated with the following signs and symptoms: anterior knee pain, inflammation, imbalance, instability, or any combination thereof (Wood 1998). The purpose of this investigation was to evaluate whether spinal manipulation, as an adjunct to patella mobilization, contributed significantly to the improvement of patients diagnosed with PFPS. A prospective trial using convenient sampling was implemented using the first 60 volunteers that met the requirements. These were randomly divided into two groups. Participants in group 2 received combined patella mobilization and spinal manipulative therapy, while those in group 1 received patella mobilization only. Each patient selected for the study was required to complete an informed consent form. The selected patients underwent a general medical case history, lower back and knee orthopaedic regional examinations. 8 clinical experiments were done: pain threshold (ALGI), pain tolerance (ALG2), the mean least pain experienced (NRS 1), the mean worst pain experienced (NRS2), the mean pain experienced (NRS3), pain quality (McGill), patellofemoral joint evaluation scale (PFJE) and a patient specific functional scale (PSFS). All were continuous variables except McGill, which was a categorical variable. For each clinical experiment, readings were taken 3 times, i.e. at the first, third and sixth consultations / M