lateral release on medial side

by Alanna
(Seattle WA)

I have danced all my life growing up and have hyperextended joints and ligaments. My doctors said that if there was still pain by the time I'm 21 a lateral release would be in order.

However they said it would be performed on my medial side due to my kneecap tilting medially. Does that make a difference in how the procedure is performed or looked at? I'm turning 21 and pretty much my only option is the surgery. I did rehab all through high school and it only seemed to make the pain worse.

I have been told since I was 12 I have patellar femmoral tendinitis and my meniscus is wearing down. I also have very swollen knees all the time.

Would the procedure help my knees to not look so swollen? Any information you have would be great.

Thanks

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lateral release on medial side

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Apr 18, 2008
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Medial release question...
by: Bart - SII

If you truly have medial tilt of your patella and that is causing your problems, then yes, a release to allow your patella to realign should help.

This type of procedure would be almost identical to a lateral release, only performed on the medial side. Medial tilt is not very common - I have only seen one other patient in 10 years with medial tilt - and it was treated conservatively with stretching and patellar mobilization.

I am curious as to why your doctors wanted you to wait until you are 21 before exploring surgical options. Did they give you a reason for the wait?

If your swelling is caused by inflammation due to the medial tilt, then a successful surgery could decrease the inflammation and the swelling.

Rehabilitation after your surgery, with a strong focus on hip abductor and external rotator strength would be essential for a full recovery.

I would discuss any questions you have with your doctors.

Hope this helps - comment back if you have other questions.