{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:21:18Z","timestamp":1792498878642,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1988,7,1]],"date-time":"1988-07-01T00:00:00Z","timestamp":583718400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1988,7]]},"abstract":"<jats:p>We examined 54 patients (60 knees) referred to us because of their failure to improve, or because of a worsening of their preoperative symptoms, following an arthroscopic lateral retinacular release. Thirty knees developed medial subluxation of the patella postoper atively. This disabling condition is new to us. It is previously unreported as a complication of arthroscopic lateral retinacular release. Anterior knee pain was the only reported preoperative symptom in 14 knees. Six teen knees had a preoperative diagnosis of lateral patellar subluxation on the basis of a positive appre hension sign only. Eighteen of 30 knees had no surgery of the extensor mechanism other than the arthroscopic lateral release. The remainder additionally underwent varying types and numbers of operations in an attempt to resolve their disability.<\/jats:p>\n                  <jats:p>CAT scan evaluation of three patients who volun teered for the procedure demonstrated severe atrophy and retraction of the vastus lateralis. Loss of this dy namic lateral stabilizer contributed to the medial sub luxation of the patella.<\/jats:p>","DOI":"10.1177\/036354658801600413","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"383-388","source":"Crossref","is-referenced-by-count":222,"title":["Medial subluxation of the patella as a complication of lateral retinacular release"],"prefix":"10.1177","volume":"16","author":[{"given":"Jack C.","family":"Hughston","sequence":"first","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, Tulane University School of Medicine, Division of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin","family":"Deese","sequence":"additional","affiliation":[{"name":"Hughston Orthopaedic Clinic, PC, Columbus, Georgia, Tulane University School of Medicine, Division of Orthopaedics, Sports Medicine Section, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1988,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","unstructured":"Bigos SJ, McBride GG: The isolated lateral retinacular release in the treatment of patellofemoral disorders. Clin Orthop 186: 75-80, 1984","DOI":"10.1097\/00003086-198406000-00013"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(86)80082-2"},{"key":"atypb3","doi-asserted-by":"crossref","unstructured":"Ceder LC, Larson RL Z-plasty lateral retinacular release for the treatment of patellar compression syndrome. Clin Orthop 144: 110-113, 1979","DOI":"10.1097\/00003086-197910000-00020"},{"key":"atypb4","unstructured":"Ficat RP, Hungerford DS: Disorders of the Patello-femoral Joint. Baltimore , Williams & Wilkins, 1977, pp 123-148"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198310000-00018"},{"key":"atypb6","doi-asserted-by":"crossref","unstructured":"Fulkerson JP , Gossling HR Anatomy of the knee joint lateral retinaculum Clin Orthop 153. 183-188, 1980","DOI":"10.1097\/00003086-198011000-00025"},{"key":"atypb7","doi-asserted-by":"crossref","unstructured":"Harwin SF, Stern RE: Subcutaneous lateral retinacular release for chondromalacia patellae A preliminary report Clin Orthop 156. 207-210, 1981","DOI":"10.1097\/00003086-198105000-00030"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1177\/036354658601400205"},{"key":"atypb9","unstructured":"Hughston JC, Walsh WM, Puddu G. Patellar Subluxation and Dislocation Philadelphia , W.B Saunders Co, 1984, pp 51-56"},{"key":"atypb10","doi-asserted-by":"crossref","unstructured":"Kettelkamp DB Management of patellar malalignment. J Bone Joint Surg 63A 1344-1348,1981","DOI":"10.2106\/00004623-198163080-00023"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198310000-00029"},{"key":"atypb12","unstructured":"Lambert KL, in discussion, Malek MM Arthroscopic lateral retinacular release : Functional results in series of 67 knees Adv Orthop Surg 9: 76-77, 1985"},{"key":"atypb13","doi-asserted-by":"crossref","unstructured":"Larson RL, Cabaud HE, Slocum DB, et al The patellar compression syndrome. Surgical treatment by lateral retinacular release. Clin Orthop 134. 158-167, 1978","DOI":"10.1097\/00003086-197807000-00021"},{"key":"atypb14","doi-asserted-by":"crossref","unstructured":"McGinty JB, McCarthy JC Endoscopic lateral retinacular release. A preliminary report. Clin Orthop 158: 120-125, 1981","DOI":"10.1097\/00003086-198107000-00018"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197409000-00027"},{"key":"atypb16","doi-asserted-by":"crossref","unstructured":"Metcalf RW An arthroscopic method for lateral release of the subluxating or dislocating patella. Chn Orthop 167. 9-18, 1982","DOI":"10.1097\/00003086-198207000-00004"},{"key":"atypb17","unstructured":"Pollard B.: Old dislocation of patella by intra-articular operation. Lancet 1(988). 17, 22, 1891"},{"key":"atypb18","doi-asserted-by":"crossref","unstructured":"Willner P. Recurrent dislocation of the patella. Clin Orthop 69. 213-215, 1970","DOI":"10.1097\/00003086-197003000-00021"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658801600413","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658801600413","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:39:00Z","timestamp":1777369140000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354658801600413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,7]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1988,7]]}},"alternative-id":["10.1177\/036354658801600413"],"URL":"https:\/\/doi.org\/10.1177\/036354658801600413","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,7]]}}}