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J Stougård

Publications and source records attributed to J Stougård.

9 recordsLinked to original sources

Chondromalacia of the patella. Physical signs in relation to operative findings.

Cartilaginous changes on the patella are common and were demonstrated in 50 out of 100 patients who underwent operation for intraarticular disease of the knee joint. In order to clarify further the signs of this condition, the physical signs were related to the operative findings. Retropatellar crepitation was present in most cases, but cannot be called pathognomonic. Pain on grating and tenderness on palpation of the patella in fact occurred together only in cases with cartilaginous changes on the patella. On the other hand, cartilaginous changes were found in several cases without such signs, a condition which perhaps should be interpreted as cartilaginous changes only, not as the symptom complex chondromalacia of the patella in which there ought to be a history of symptoms.

Adolescent

Chondromalacia of the patella. Incidence, macroscopical and radiographical findings at autopsy.

In a post-mortem series of 59 persons aged 10-50 years, 91 of the 118 patellae exhibited cartilaginous changes. These changes were most common in the older age groups and usually affected the medial articular facet where they were also most extensive and most profound. Clinical and radiological assessment showed this facet to be less suited to articulation with the femur because of its convex joint surface, central ridges, and prominences. Radiography using tangential views of the entire patella and of 2 mm thick slices of the patella showed in cases with macroscopically normal cartilage a less dense bony structure medially and a denser structure laterally. Even in the presence of distinct cartilaginous changes this difference in bone density did not alter essentially. In particular, there was no definite sclerosing medially, where the changes in the cartilage were most marked. Osteophyte formation was sparse, but most common in the older age groups, and laterally. Osteophytes were seen only on patellae with cartilaginous changes.

Adolescent

Patellectomy.

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Adolescent