Sports III Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Question 3)Figure A and B are arthroscopic views of an 18-year-old collegiate basketball player who has recurrent effusions 9 months after his fourth patella dislocation. He has had bracing and physical therapy since the previous dislocation. Radiographs reveal lateral congruence. MR imaging shows articular cartilage loss in the inferolateral patella. Lateral tibial tubercle offset relative to the trochlea groove is 19 mm. Diagnostic arthroscopy figures show the patella before and after debridement. An articular cartilage biopsy is obtained. Reimplantation of articular cartilage should be undertaken in conjunction with which other procedure(s)? Sports Question 4) Figure A and B Select the Correct AnswerGaleazzi realignmentAnteromedial tibial tubercle transferVastus medialis oblique (VMO) advancementVMO advancement and lateral releaseMedial tibial tubercle transfer and lateral releaseCorrect Answer: Anteromedial tibial tubercle transfer Explanation: The examinee is being asked to identify the preferred type of realignment for distal lateral patella lesions and articular cartilage restoration. Knowledge of the specifics of patellofemoral unloading and combined procedures is required. The Galeazzi procedure is a distal realignment used to address pediatric patella instability. VMO advancement with or without lateral release can improve patella tracking but is not useful with autologous chondrocyte implantation (ACI). Medial tibial tubercle transfer will correct the high tibial tubercle-trochlear groove malalignment. Anteromedial correction addresses alignment issues and decreases overall contact forces. It also provides the most unloading in the distal lateral portion of the patella. Anteromedialization has significantly improved ACI success in patellofemoral lesions from approximately 60% to 85%. References: Source 2015 AAOS OITE Beck PR, Thomas AL, Farr J, Lewis PB, Cole BJ. Trochlear contact pressures after anteromedialization of the tibial tubercle. Am J Sports Med. 2005 Nov;33(11):1710-5. Epub 2005 Aug 10. PubMed PMID: 16093531. Strauss EJ, Galos DK. The evaluation and management of cartilage lesions affecting the patellofemoral joint. Curr Rev Musculoskelet Med. 2013 Jun;6(2):141-9. doi: 10.1007/s12178-013-9157-z. PMID: 23392780; PMCID: PMC3702778. Wrong Answer: Please try again! Submit Post navigation Previous QuestionJoints INext QuestionJoints II