Lateral Retinacular Release for Treatment of Excessive Lateral Pressure Syndrome: The Capsule-Uncut Immaculate (CUI) Technique.

Arthrosc Tech

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China, Beijing Key Laboratory of Sports Injuries, Beijing, China, and Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.

Published: November 2023

AI Article Synopsis

  • Lateral retinacular release of the patella is a surgical procedure used primarily to treat excessive lateral pressure syndrome, first introduced in 1974 by Merchant and Mercer.
  • Common complications of this surgery include hemarthrosis (bleeding into the joint) and medial patellar instability, often caused by damaging the joint capsule's synovial membrane or excessive cutting of the lateral retinaculum.
  • The article presents a new technique called capsule-uncut immaculate (CUI) lateral retinacular release, which aims to preserve the integrity of the joint capsule during the procedure.

Article Abstract

Lateral retinacular release of the patella is the main surgical treatment for excessive lateral pressure syndrome. It was first described by Merchant and Mercer in 1974. The main complications of arthroscopic lateral retinacular release are hemarthrosis and medial patellar instability. The main causes of these complications are the disturbance of the synovial membrane of the joint capsule and excessive release of the lateral retinaculum. In this article, we introduce a method for arthroscopic lateral retinacular release that maintains the overall structure of the joint capsule: capsule-uncut immaculate (CUI) lateral retinacular release.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10714330PMC
http://dx.doi.org/10.1016/j.eats.2023.07.018DOI Listing

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