The Orthobullets Podcast Knee & Sports | Lateral Patellar Compression Syndrome
Jul 24, 2025
Dive into the complexities of Lateral Patellar Compression Syndrome, where improper patella tracking leads to significant pain. Discover effective treatment options, from physical therapy to surgical interventions like lateral retinacular release. A compelling case study highlights the importance of strengthening exercises for alleviating anterior knee pain. Gain insights on managing symptoms and understanding underlying anatomical issues, making this a must-listen for anyone interested in knee health and sports injuries.
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Cause and Diagnosis Overview
- Lateral patellar compression syndrome is caused by a tight lateral retinaculum leading to improper patellar tracking.
- Diagnosis relies on lateral patellar tilt seen on radiographs and lateral facet tenderness on exam.
Miserable Triad Explained
- The "miserable triad" includes femoral anteversion, genu valgum, and external tibial torsion/pronated feet.
- These anatomical features increase the Q angle and worsen patellofemoral dysplasia.
First-line Treatment Advice
- Treat lateral patellar compression syndrome initially with NSAIDs, activity modification, and physical therapy.
- Focus therapy on vastus medialis strengthening and closed-chain short arc quadriceps exercises.