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SymposiumOperative Treatment of Patellofemoral Arthritis*
Khaled J. Saleh, MD, MSc, FRCS(C)1; Elizabeth A. Arendt, MD2; Jonathan Eldridge, MD, FRCS(Orth)3; John P. Fulkerson, MD4; Tom Minas, MD, MS5; Kevin J. Mulhall, MD, MCh, FRCS(Tr and Orth)1
1 Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Charlottesville, VA 22903. E-mail address for K.J. Saleh: saleh@virginia.edu
2 Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue, Suite R200, Minneapolis, MN 55454
3 Jonathan Webb Clinic, BUPA Hospital Bristol, Redland Hill, Durdham Down, Clifton, Bristol, Avon BS6 6UT, United Kingdom
4 Orthopedic Associates of Hartford and University of Connecticut Medical School, 263 Farmington Avenue, Farmington, CT 06030
5 Cartilage Repair Center, Brigham and Women's Hospital, Harvard Medical School, 850 Boylston Street, Suite 112, Chestnut Hill, MA 02467
The Journal of Bone & Joint Surgery.  2005; 87:659-671  doi:10.2106/JBJS.D.03035
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Extract

Arthritis of the patellofemoral joint is typically an extremely debilitating condition and is relatively common. Arthritic changes have been found radiographically in the patellofemoral compartment in isolation in 13.6% to 24% of women and in 11% to 15.4% of men in two studies of subjects who were more than fifty-five and sixty years old, respectively1,2. When only patients with symptomatic osteoarthritis of the knee were considered, the prevalence of isolated patellofemoral disease (in patients over fifty-five years old) ranged from 5% to 8%2,3. In a cadaver study of 100 individuals who were more than sixty-five years old at the time of death, 79% had evidence of patellofemoral osteoarthritis, although it was not in isolation4.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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