The Relationship of the Femoral Physis and the Medial Patellofemoral Ligament in Children: A Cadaveric Study

Conclusion: The relationship of the femoral attachment of the MPFL and the medial femoral physis shows some anatomic variation. In all cases, the MPFL is close to the medial femoral physis, but the midpoint of the MPFL is at, slightly above, or slightly below the physis. Clinical Relevance: The relationship of the MPFL femoral attachment footprint to the femoral physis in the skeletally immature patient is not well understood, and access to pediatric cadaveric tissue is very limited. This small series demonstrates that there is considerable variation in the relationship between the MPFL and distal femoral physis. This anatomic information may guide MPFL reconstruction technique in young patients and reduce the risk of iatrogenic physeal arrest on the femur.

http://ajs.sagepub.com/cgi/content/abstract/44/11/2833?rss=1

Source: The American Journal of Sports Medicine - October 30, 2016 Category: Sports Medicine Authors: Shea, K. G., Styhl, A. C., Jacobs, J. C., Ganley, T. J., Milewski, M. D., Cannamela, P. C., Anderson, A. F., Polousky, J. D. Tags: Knee, patella, Pediatric sports medicine Source Type: research