What is a medial plication?

What is a medial plication?

Arthroscopic medial reticular plication with a needle-hole technique is a treatment that uses the less invasive technique of arthroscopy, does not require tissue grafts, and has a greater cosmetic advantage than open procedures. Patellar instability is a common problem resulting in anterior knee pain.

What is the medial Retinaculum of the knee?

The medial patellar retinaculum is a tendon of the knee that crosses the knee joint on the medial side of the patella. It plays important roles in the formation of the fibrous capsule of the knee and in the extension of the knee joint.

Where is the medial patellofemoral ligament?

The medial patellofemoral ligament (MPFL) is part of the network of soft tissue restraints that helps stabilize the knee. The MPFL keeps the patella (kneecap) centered, such that it glides properly during leg movement. The MPFL is located on the inner side of the knee and connects the patella to the femur (thighbone).

How long does it take to bend your knee after MPFL surgery?

You may resume driving a vehicle when you have stopped your narcotic pain medication and you can comfortably bend and straighten your operative knee. This typically occurs approximately 4-6 weeks after surgery.

What is the function of the Retinaculum?

Principal function of the flexor retinaculum is to serve as a pulley for the carpal flexor muscles and to stabilize the carpal system. In addition, The volar surface gives rise to muscles of the thenar and hypothenar eminences. It is Related to the tendon of the palmaris longus.

What does a torn Mpfl feel like?

Common signs and symptoms that may occur with an MPFL injury include: Feeling the knee “giving way” or “buckling” during activity. Feeling like the kneecap is sliding out to the side during knee movement. Swelling of the knee following activity.

How do you strengthen the medial patellofemoral ligament?

Early exercises include quadriceps sets, heel slides, hamstring sets and gluteal sets until the patient is full weight bearing without symptoms. Because the hip and trunk are so important in maintaining proximal control for the knee and the patellofemoral joint, total leg strengthening (TLS) is initiated early.

Does a MPFL tear require surgery?

MPFL injuries typically occur during a forceful traumatic kneecap dislocation. This injury is most common among young, active females. Depending on the severity of an MPFL injury, treatment may involve surgical reconstruction, followed by physical therapy.

What is gastric plication?

What Is Gastric Plication? Laparoscopic gastric plication is a newer minimally invasive weight-loss surgery technique that reduces the size of the stomach capacity to approximately 3 ounces. The procedure does not involve the use of an implanted device (such as gastric banding).

How long does it take to walk after MPFL reconstruction?

Q: HOW LONG IS THE RECOVERY AFTER MPFL RECONSTRUCTION? expected. Most patients are off crutches around 1-2 weeks after surgery.

Why can’t I bend my knee after MPFL surgery?

Stiffness does not tend to be a problem after this procedure, although it is helpful to start bending and straightening your knee after surgery. 3-5 times per day, you should do some light bending and straightening exercises. Your knee will be swollen after surgery and it is helpful to work at reducing this swelling.

Can I walk after MPFL surgery?

How soon can I walk or drive after MPFL reconstruction? Following surgery patients can add weight bearing slowly, as tolerated and crutches may be weaned off gradually. Patients can expect to be allowed to drive (if the surgery was done on the dominate driving knee) in about one month.

Which is an example of a retinaculum?

For example, there is a retinaculum on the underside of your wrist that keeps tendons from popping up when you flex or bend your hand at the wrist. One of the muscle tendons at the wrist, the palmaris longus, “the long muscle of the palm”, is outside of the retinaculum, that is, not bound down.

What is the importance of flexor retinaculum?

The flexor retinaculum protects nine of the forearm flexor tendons and median nerve as they pass through the carpal tunnel. [1] If this tissue becomes inflamed, swollen, or fibrotic, the median nerve can become irritated or compressed, leading to carpal tunnel syndrome.

Can I bend my knee after MPFL surgery?

How painful is MPFL surgery?

MPFL reconstruction is a painful procedure. Severe postoperative pain can inter- fere with active muscle control. Pain can also impede progress with range of motion (ROM).