2023
Localization of the Adductor Tubercle in the Skeletally Immature: A Computed Tomography Study With Patellofemoral Surgical Implications
Jabbouri S, McLaughlin W, Joo P, Cooperman D, Fulkerson J, Frumberg D. Localization of the Adductor Tubercle in the Skeletally Immature: A Computed Tomography Study With Patellofemoral Surgical Implications. The American Journal Of Sports Medicine 2023, 51: 1792-1798. PMID: 37093662, DOI: 10.1177/03635465231166027.Peer-Reviewed Original ResearchConceptsMedial patellofemoral ligamentAdductor magnus tendonAdductor tubercleTendon insertionMQTFL reconstructionPediatric patientsTomography scanDistal femurAnchor placementMale pediatric patientsDistal femoral physisFellowship-trained musculoskeletal radiologistsComputed tomography studyMale cadaveric specimensProximal-distal orientationAnterior-posterior distanceDescriptive laboratory studyImmature patientsSkeletally immatureLigament reconstructionFemoral physisPatellofemoral ligamentSurgical implicationsPatellofemoral instabilityMusculoskeletal radiologists
2022
Coronal Malalignment—When and How to Perform a Tibial Tubercle Osteotomy
Gardner EC, Molho DA, Fulkerson JP. Coronal Malalignment—When and How to Perform a Tibial Tubercle Osteotomy. Clinics In Sports Medicine 2022, 41: 15-26. PMID: 34782071, DOI: 10.1016/j.csm.2021.07.008.Peer-Reviewed Original ResearchConceptsTibial tubercle osteotomyTubercle osteotomyCoronal malalignmentDistal realignment proceduresMultiplanar osteotomyArticular injuriesPatellofemoral jointJoint overloadRealignment proceduresOrthopaedic surgeonsMuscular factorsJoint biomechanicsOsteotomyPatient-specific treatmentComplex pathoanatomySoft tissueMalalignmentComplicationsPainSurgeryInjury
2020
Current Concepts Regarding Patellofemoral Trochlear Dysplasia
Levy BJ, Tanaka MJ, Fulkerson JP. Current Concepts Regarding Patellofemoral Trochlear Dysplasia. The American Journal Of Sports Medicine 2020, 49: 1642-1650. PMID: 33021814, DOI: 10.1177/0363546520958423.Peer-Reviewed Original ResearchConceptsRecurrent patellar instabilityTrochlear dysplasiaPatellar instabilityPatellofemoral jointMedial quadriceps tendon-femoral ligamentMajority of patientsTibial tubercle transferMajority of casesArticular cartilageSurgical stabilizationMedial patellofemoralOptimal treatmentTubercle transferDysplasiaPatientsComplex structural anomaliesPatellofemoral trackingSurgical planningTrochleoplastyStructural anomaliesSpecific deficitsCartilagePatellofemoralMajority
2019
An Updated Overview of the Anatomy and Function of the Proximal Medial Patellar Restraints (Medial Patellofemoral Ligament and the Medial Quadriceps Tendon Femoral Ligament)
Chahla J, Smigielski R, LaPrade RF, Fulkerson JP. An Updated Overview of the Anatomy and Function of the Proximal Medial Patellar Restraints (Medial Patellofemoral Ligament and the Medial Quadriceps Tendon Femoral Ligament). Sports Medicine And Arthroscopy Review 2019, 27: 136-142. PMID: 31688531, DOI: 10.1097/jsa.0000000000000252.Peer-Reviewed Original ResearchConceptsMedial patellofemoral ligamentMedial patellar restraintsLateral patellar translationLateral patellar displacementPrimary static restraintSoft tissue attachmentsExtensor mechanismPatellofemoral ligamentPatellar translationKnee flexionPatellar displacementStatic restraintsTissue attachmentLigamentCurrent knowledgeDrilling tunnelsUpdated overviewFlexionPatellaUnilateral anterior knee pain is associated with increased patellar lateral position after stressed lateral translation
Leal A, Andrade R, Flores P, Silva FS, Fulkerson J, Neyret P, Arendt E, Espregueira‐Mendes J. Unilateral anterior knee pain is associated with increased patellar lateral position after stressed lateral translation. Knee Surgery, Sports Traumatology, Arthroscopy 2019, 28: 454-462. PMID: 31375878, DOI: 10.1007/s00167-019-05652-7.Peer-Reviewed Original ResearchConceptsUnilateral anterior knee painAnterior knee painPainful kneeKnee painPatellar mobilityPatellar positionLateral patellar translationPatellar tilt angleCaton-Deschamps indexLateral patellar tiltMultivariate logistic modelLateral positionMagnetic resonance imagingLysholm scoreTrochlear sulcus angleFunctional outcomePhysical examinationTibial tuberosityPatellar subluxationPatellar tiltSame patientPatellar translationPatientsResonance imagingSulcus angleFifteen-Year Minimum Follow-Up of Anteromedial Tibial Tubercle Transfer for Lateral and/or Distal Patellofemoral Arthrosis
Klinge SA, Fulkerson JP. Fifteen-Year Minimum Follow-Up of Anteromedial Tibial Tubercle Transfer for Lateral and/or Distal Patellofemoral Arthrosis. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2019, 35: 2146-2151. PMID: 31272635, DOI: 10.1016/j.arthro.2019.02.030.Peer-Reviewed Original ResearchConceptsAnteromedial tibial tubercle transferTibial tubercle transferTherapeutic case seriesTubercle transferPatellofemoral arthrosisCase seriesInclusion criteriaPatellar instabilityAdditional proceduresAverage pain scorePatients' subjective evaluationRemoval of hardwareMedial patellar subluxationLateral patellar instabilitySeverity of arthrosisMedial patellar facetRetropatellar painMinimum followPain scoresJoint preservationFacet arthrosisMean ageGrade IArthroplasty proceduresLevel IVRadiographic Landmarks for the Anterior Attachment of the Medial Patellofemoral Complex
Tanaka MJ, Tompkins MA, Fulkerson JP. Radiographic Landmarks for the Anterior Attachment of the Medial Patellofemoral Complex. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2019, 35: 1141-1146. PMID: 30611587, DOI: 10.1016/j.arthro.2018.08.052.Peer-Reviewed Original ResearchConceptsMedial patellofemoral complexLateral fluoroscopic imagesRadiographic landmarksGraft placementSuperior poleCadaveric kneesLateral parapatellar approachMedial patellofemoral ligamentFresh-frozen cadaveric kneesArticular surfaceAnterior attachmentVastus intermedius tendonPatellar stabilization surgeryArticular lengthParapatellar approachFluoroscopic imagesExtensor mechanismQuadriceps tendonStabilization surgeryPatellofemoral ligamentAnatomic findingsDigital analysis softwareLigament anatomyArticular sideAnatomic midpoint
2018
Recognition of evolving medial patellofemoral anatomy provides insight for reconstruction
Tanaka MJ, Chahla J, Farr J, LaPrade RF, Arendt EA, Sanchis‐Alfonso V, Post WR, Fulkerson JP. Recognition of evolving medial patellofemoral anatomy provides insight for reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy 2018, 27: 2537-2550. PMID: 30370440, DOI: 10.1007/s00167-018-5266-y.Peer-Reviewed Original ResearchConceptsMedial quadriceps tendon-femoral ligamentMedial patellofemoral ligamentMedial patellotibial ligamentMedial soft tissue stabilizersMedial patellomeniscal ligamentSoft tissue stabilizersPatellofemoral anatomyAnatomic descriptionAnatomical attachment siteMedial patellar stabilizersMedial patellar restraintsLateral patellar displacementMedial patellofemoral complexPatellar stabilizersQuadriceps tendon
2017
Patellofemoral Contact Pressures After Patellar Distalization: A Biomechanical Study
Yang JS, Fulkerson JP, Obopilwe E, Voss A, Divenere J, Mazzocca AD, Edgar CM. Patellofemoral Contact Pressures After Patellar Distalization: A Biomechanical Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2017, 33: 2038-2044. PMID: 28844344, DOI: 10.1016/j.arthro.2017.06.043.Peer-Reviewed Original ResearchConceptsPatellofemoral contact pressureBlackburne-Peel ratioLateral releaseEarly flexionPatella bajaNative kneeTibial tubercle distalizationWeighted pulley systemFresh-frozen cadaveric kneesIliotibial bandMedial trochleaCadaveric kneesLateral trochleaFlexionKneeBiomechanical studyDistalizationPressure-sensitive filmOsteotomyTrochleaA Practical Guide to Understanding and Treating Patellofemoral Pain.
Fulkerson J. A Practical Guide to Understanding and Treating Patellofemoral Pain. The American Journal Of Orthopedics 2017, 46: 101-103. PMID: 28437495.Peer-Reviewed Original ResearchConceptsPain originPain patientsSource of anterior knee painAnterior knee pain patientsKnee pain patientsTreating patellofemoral painPatellofemoral pain patientsAnterior knee painAnteromedial tibial tubercle transferTibial tubercle transferResistant painPatellofemoral painRecalcitrant casesKnee painPainTubercle transferAccurate diagnosisPatientsCartilage deficiencyPainful contracturesArticular lesionsSynovial tissuePatient localizationBiomechanical originSurgery
2016
The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex
Tanaka MJ, Voss A, Fulkerson JP. The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex. Journal Of Bone And Joint Surgery 2016, 98: 1199-1205. PMID: 27440568, DOI: 10.2106/jbjs.15.01182.Peer-Reviewed Original Research
2015
Radiographic Reference Points Are Inaccurate With and Without a True Lateral Radiograph
Ziegler CG, Fulkerson JP, Edgar C. Radiographic Reference Points Are Inaccurate With and Without a True Lateral Radiograph. The American Journal Of Sports Medicine 2015, 44: 133-142. PMID: 26561652, DOI: 10.1177/0363546515611652.Peer-Reviewed Original Research
2012
Complications of Medial Patellofemoral Ligament Reconstruction
Tanaka MJ, Bollier MJ, Andrish JT, Fulkerson JP, Cosgarea AJ. Complications of Medial Patellofemoral Ligament Reconstruction. Journal Of Bone And Joint Surgery 2012, 94: e87. PMID: 22717839, DOI: 10.2106/jbjs.k.01449.Peer-Reviewed Original ResearchConceptsMedial patellofemoral ligament reconstructionPatellofemoral ligament reconstructionLigament reconstructionPatient selectionPotential complicationsLogical treatment algorithmDistal realignment proceduresProper patient selectionPatellofemoral joint stabilitySoft tissue restraintsTechnical errorsCommon technical errorsGraft impingementGraft failurePatellofemoral arthrosisReported complicationsSurgical managementTreatment algorithmPatellofemoral alignmentRealignment surgeryTunnel positioningTunnel placementComplicationsRealignment proceduresGraft isometryAnatomic Guidelines for Harvesting a Quadriceps Free Tendon Autograft for Anterior Cruciate Ligament Reconstruction
Lippe J, Armstrong A, Fulkerson JP. Anatomic Guidelines for Harvesting a Quadriceps Free Tendon Autograft for Anterior Cruciate Ligament Reconstruction. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2012, 28: 980-984. PMID: 22498044, DOI: 10.1016/j.arthro.2012.01.002.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionFree tendon autograftCruciate ligament reconstructionQuadriceps tendonTendon autograftACL reconstructionLigament reconstructionQuadriceps tendon insertionTendon graft harvestingFree tendon graftTendon graftWide graftsAnatomic guidelinesGraft harvestingTendon insertionTendon lengthMedial borderAnatomic studyCadaveric kneesGraftTendonScalpel bladeStandardized mannerAutograftTendon depth
2011
Technical Failure of Medial Patellofemoral Ligament Reconstruction
Bollier M, Fulkerson J, Cosgarea A, Tanaka M. Technical Failure of Medial Patellofemoral Ligament Reconstruction. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2011, 27: 1153-1159. PMID: 21664791, DOI: 10.1016/j.arthro.2011.02.014.Peer-Reviewed Original ResearchConceptsMedial patellofemoral ligament reconstructionPatellofemoral ligament reconstructionLigament reconstructionChronic patellofemoral instabilityRecurrent lateral instabilityTunnel malpositioningClinical presentationMedial restraintsMPFL graftRevision surgeryMedial subluxationPatellar instabilityMPFL insertionPatellofemoral instabilityNormal alignmentTechnical failureGraftPatientsSurgeryLateral instabilitySubluxationBest optionMalpositioningSymptomsThe role of trochlear dysplasia in patellofemoral instability.
Bollier M, Fulkerson JP. The role of trochlear dysplasia in patellofemoral instability. Journal Of The American Academy Of Orthopaedic Surgeons 2011, 19: 8-16. PMID: 21205763, DOI: 10.5435/00124635-201101000-00002.Peer-Reviewed Original Research
2010
Patellar instability.
Redziniak DE, Diduch DR, Mihalko WM, Fulkerson JP, Novicoff WM, Sheibani-Rad S, Saleh KJ. Patellar instability. Instructional Course Lectures 2010, 59: 195-206. PMID: 20415380.Peer-Reviewed Original Research
2009
Surgical Stress-Induced Immune Cell Redistribution Profiles Predict Short-Term and Long-Term Postsurgical Recovery
Rosenberger PH, Ickovics JR, Epel E, Nadler E, Jokl P, Fulkerson JP, Tillie JM, Dhabhar FS. Surgical Stress-Induced Immune Cell Redistribution Profiles Predict Short-Term and Long-Term Postsurgical Recovery. Journal Of Bone And Joint Surgery 2009, 91: 2783-2794. PMID: 19952239, PMCID: PMC2780920, DOI: 10.2106/jbjs.h.00989.Peer-Reviewed Original ResearchConceptsImmune cell redistributionCell redistributionPostoperative recoveryImmune responseLong-term postoperative recoveryMixed-model repeated-measures analysisProtective immune responseSite of surgeryProspective longitudinal studyOptimum immune responseRepeated-measures analysisLysholm scaleSurgical stressKnee functionPostsurgical recoveryPostoperative healingLeukocyte redistributionSurgeryEnhanced recoveryExtent of recoveryRate of recoveryPatientsPotential mediatorsPhysiological stress responsePoor recoveryPatellar instability.
Redziniak DE, Diduch DR, Mihalko WM, Fulkerson JP, Novicoff WM, Sheibani-Rad S, Saleh KJ. Patellar instability. Journal Of Bone And Joint Surgery 2009, 91: 2264-75. PMID: 19724006.Peer-Reviewed Original Research
2008
Patellofemoral joint preservation
Fulkerson J. Patellofemoral joint preservation. Knee Surgery, Sports Traumatology, Arthroscopy 2008, 17: 1-1. PMID: 18982309, DOI: 10.1007/s00167-008-0658-z.Peer-Reviewed Original Research