MODULE 1

Anatomy and Biomechanics of the Patellofemoral Joint

This module will cover current anatomical and biomechanical understanding of the patellofemoral joint in a clinically relevant context.

Learning objectives

  • Fully understand the complex anatomy of the patellofemoral joint

  • Appreciate recently described anatomic details 

  • Learn how to effectively apply anatomical and biomechanical principles clinically

MODULE DIRECTORS
Miho J. Tanaka, MD
Robert F. Laprade, MD, PhD

FACULTY
Jorge Chahla, MD, PhD
Betina B Hinckel, MD, PhD
John J Elias, PhD

Miho J. Tanaka, MD
Sports Medicine Orthopaedic Surgeon
Director and Founder of Women’s Sports Medicine Program
Massachusetts General Hospital
Boston, MA
Robert F. Laprade, MD, PhD
Orthopedic Surgeon
Twin Cities Orthopedics
Edina, MN
Jorge Chahla, MD, PhD
Assistant Professor of Orthopedic Surgery
Rush University Medical Center
Chicago, IL
Betina B. Hinckel, MD, PhD
Assistant Professor of Orthopedic Surgery
Oakland University – Beaumont Health
Auburn Hills, Michigan
John J. Elias, PhD
Senior Research Scientist
Cleveland Clinic Akron General
Akron, OH

MODULE 2

Comprehensive Work-up of the Patellofemoral Joint

This module will cover focused history, physical examination, and imaging of patients with patellofemoral disorders.

Learning Objectives

  • Understand the basic principles and importance of history physical examination and imaging

  • Learn how to apply logical efficient and comprehensive clinical evaluation to everyday practice to facilitate diagnosis and treatment of patellofemoral disorders

MODULE DIRECTORS
William R.. Post, MD

FACULTY
Andrew J. Cosgarea MD

William R. Post, MD
Orthopaedic Surgeon
Chairman International Patellofemoral Study Group
Patellofemoral Foundation Board Member
Morgantown, WV
Andrew J. Cosgarea, MD
Professor of Orthopaedic Surgery
The Drew Family Professor of Orthopaedic Surgery
Head Team Physician Johns Hopkins University
Baltimore, MD

Dr. Andrew Cosgarea is a Professor of Orthopaedic Surgery at Johns Hopkins University and holder of the Drew Family Professorship in honor of Alec J. Cosgarea. He has been the Head Team Physician for the Johns Hopkins University Athletic Department since 2000, and was an Orthopaedic Surgeon for the Baltimore Orioles Major League Baseball Team from 2000-2010. Dr. Cosgarea is involved in research studying knee kinematics, arthroscopy education, knee physical examination and the surgical treatment of recurrent patellar instability, and has lectured extensively on these topics. He is the author or co-author of over 100 scientific articles, 40 chapters and 2 textbooks. He is on the Board of Directors of the Patellofemoral Foundation, is a previous AOSSM Treasurer and Board member, and is an active member of AAOS, AANA, IPSG, ISAKOS and the Herodicus Society.

MODULE 3

Anterior Knee Pain

This module will cover the diagnosis and treatment of patients with common and complex causes of anterior knee pain.

Learning objectives

  • Understand and practice state of the art history and focused physical examination of AKP patients

  • Define joint homeostasis and the envelope of function as regards treatment of anterior knee pain

  • Acquire logical strategy for imaging studies appropriate for different types of patients with AKP

  • Be able to recommend appropriate non-operative treatment and understand the value of time and patience in optimizing outcomes

  • Know when to recommend and perform focused and effective surgical intervention. 

MODULE DIRECTORS
William R.. Post, MD

FACULTY
Caitlin Chambers, MD
Scott F. Dye, MD
Vicente Sanchis-Alfonso, MD, PhD
Jacqueline M. Brady M.D.

William R. Post, MD
Orthopaedic Surgeon
Chairman International Patellofemoral Study Group
Patellofemoral Foundation Board Member
Morgantown, WV
Caitlin Chambers, MD
Assistant Professor of Orthopaedic Surgery
University of Minnesota / TRIA Orthopaedic Center
Minneapolis, MN
Scott F. Dye, MD
Associate Clinical Professor
Department of Orthopaedic Surgery
University of California, San Francisco
San Francisco, CA
Vicente Sanchis-Alfonso, MD, PhD
Orthopedic Surgeon
Department of Orthopaedic Surgery
Hospital Arnau de Vilanova
Valencia, Spain
Jacqueline M. Brady, MD
Associate Professor of Orthopaedics and Rehabilitation
Oregon Health and Science University School of Medicine
Portland, OR

MODULE 4

Patellofemoral Instability Part I - Management of First Time Dislocation

This module will cover the non-operative and operative management of first-time patella dislocation presenting evidence-based review of current management strategy.

Learning objectives

  • Understand comprehensive work-up including evaluation of possible osteochondral injury

  • Learn evidence-based risk stratification to guide treatment decisions

  • Master principles and techniques of non-operative and operative treatment for first-time dislocation

MODULE DIRECTORS
Jacqueline M. Brady MD
Adam B. Yanke, MD, PhD

FACULTY
Seth L. Sherman, MD
Beth E. Shubin Stein, MD

Jacqueline M. Brady, MD
Associate Professor of Orthopaedics and Rehabilitation
Oregon Health and Science University School of Medicine
Portland, OR
Adam B. Yanke, MD, PhD
Assistant Professor Department of Orthopedics
Assistant Director Cartilage Restoration Center
Rush University Medical Center
Chicago, IL

Seth L. Sherman, MD
Associate Professor
Head of Sports Medicine
Stanford University
Palo Alto, CA
Beth E. Shubin Stein, MD
Associate Professor of Orthopedic Surgery
Co-Director of the Women’s Sports Medicine Center
Hospital for Special Surgery

MODULE 5

Patellofemoral Instability Part II - Surgical Management of Recurrent Dislocation

This module will cover evaluation decision making and surgical management of patients with recurrent patellofemoral instability.

Learning objectives

  • Recognize and evaluate anatomical factors contributing to recurrent instability

  • Develop a logical evidence-based approach to surgical treatment minimizing operative morbidity

  • Understand which patients may be at risk of failure from isolated MPFL/medial patellofemoral complex reconstruction

MODULE DIRECTORS
William R.. Post, MD
John Fulkerson, MD

FACULTY
William R. Beach, MD
Donald Coburn Fithian, MD
Jason L. Koh, MD, MBA

William R. Post, MD
Orthopaedic Surgeon
Chairman International Patellofemoral Study Group
Patellofemoral Foundation Board Member
Morgantown, WV
John Fulkerson, MD
Professor of Orthopaedic Surgery
Yale University
Founder and President Patellofemoral Foundation
New Haven, CT
William R. Beach, MD
Orthopaedic Surgeon
Tuckahoe Orthopaedics
Richmond, VA
Donald Coburn Fithian, MD
Orthopaedic Surgeon, Partner Emeritus
Southern California Permanente Medical Group
San Diego, CA
Jason L. Koh, MD, MBA
Chair of Orthopaedic Surgery
Clinical Director Orthopaedic Institute
NorthShore University HealthSystem
Chicago, IL

MODULE 6

Patellofemoral Instability Part III - Special Situations

This module will cover evaluation and treatment decisions for patients with unusually complex causes of patellar instability and patients who have failed prior surgical intervention.

Learning objectives

  • Recognize signs and findings that identify patients who may treatment other than medial stabilization

  • Develop a logical diagnosis and treatment approach to patients with failed patellofemoral instability surgery

  • Understand the surgical techniques sometimes necessary for treatment of such complex patients

MODULE DIRECTORS
Lutul Farrow, MD
Robert A. Magnussen, MD, MPH

FACULTY
Elvire Servien, MD, PhD
Robert Teitge, MD

Lutul Farrow, MD
Associate Professor of Orthopedic Surgery and Sports Medicine
Fellowship Director, Cleveland Clinic
Cleveland, OH
Robert A. Magnussen, MD, MPH
Professor of Orthopedic Surgery
Ohio State University
Columbus, OH
Elvire Servien, MD, PhD
Professor in 
Professor in Orthopaedic Surgery
Hospital de la Croix-Rousse
Lyon, Rhône Alpes France
Robert Teitge, MD
Emeritus Professor of Orthopedic Surgery
Wayne State University
Detroit, MI

MODULE 7

Patellofemoral Instability Part IV - Special Considerations for Pediatric Patients

This module will cover evaluation and treatment of patellofemoral instability in pediatric patients.

Learning objectives

  • Understand different types of patellar instability patterns in children and adolescents 

  • Differentiate the risk factors for patellar instability between children and adults 

  • Review physeal-respecting surgical techniques for MPFL reconstruction in skeletally immature patients

  • Understand the role of quadricepsplasty in management of complex patellar instability patterns

  • Review the types of distal realignment techniques for skeletally immature patients

MODULE DIRECTORS
Shital N. Parikh, MD, FACS
Daniel W. Green, MD, MS, FAAP, FACS

FACULTY
Jack T. Andrish MD

Shital N. Parikh, MD, FACS
Co-Director, Orthopaedic Sports Center
Professor, UC Department of Orthopedic Surgery
Cincinnati, OH
Daniel W. Green, MD, MS, FAAP, FACS
Professor of Orthopedic Surgery
Hospital for Special Surgery
New York, NY
Jack T. Andrish, MD
Retired Consultant, Department of Orthopaedic Surgery
Cleveland Clinic
Cleveland, OH

MODULE 8

Cartilage Restoration and/or Osteotomy for focal PF Articular Cartilage Lesions

This module will cover the evaluation and management of focal articular cartilage defects in the patellofemoral joint.

Learning objectives

  • Learn how to perform a comprehensive work-up including evaluation of cartilage defects in the context of important concomitant pathology

  • Understand principles of non-surgical management as well as indications and techniques for surgical intervention including cartilage restoration and realignment osteotomy

MODULE DIRECTORS
Seth L. Sherman, MD
Jack Farr II, MD

FACULTY
Andreas H. Gomoll, MD
Beth E. Shubin Stein, MD
Christian Lattermann, MD
Betina B. Hinckel, MD, PhD

Seth L. Sherman, MD
Associate Professor
Head of Sports Medicine
Stanford University
Palo Alto, CA
Jack Farr II, MD
Professor of Orthopedic Surgery
Indiana University School of Medicine
Indianapolis, IN
Andreas H. Gomoll, MD
Associate Attending Orthopedic Surgeon, Hospital for Special Surgery
Associate Professor of Orthopedic Surgery, Weill Cornell Medical College
Attending surgeon, New York-Presbyterian Hospital
New York, NY
Beth E. Shubin Stein, MD
Associate Professor of Orthopedic Surgery
Co-Director of the Women’s Sports Medicine Center
Hospital for Special Surgery
Christian Lattermann, MD
Professor of Orthopedic Surgery
Head of Sports Medicine at Boston Brigham and Women’s Hospital
Boston, MA
Betina B. Hinckel, MD, PhD
Assistant Professor of Orthopedic Surgery
Oakland University – Beaumont Health
Auburn Hills, Michigan

MODULE 9

Patellofemoral Arthritis

This module will cover treatment options for patients with severe patellofemoral arthritis.

Learning objectives

  • Understand when patellofemoral arthritis can be treated by joint preservation options, including unloading osteotomy/tibial tubercle transfer osteotomy.

  • Define the indications and technique for uni-compartmental patellofemoral arthroplasty

MODULE DIRECTORS
John Fulkerson, MD

FACULTY
William R. Beach, MD
James D. Wylie, MD
Jack Farr II, MD

John Fulkerson, MD
Professor of Orthopaedic Surgery
Yale University
Founder and President Patellofemoral Foundation
New Haven, CT
William R. Beach, MD
Orthopaedic Surgeon
Tuckahoe Orthopaedics
Richmond, VA
James D. Wylie, MD
Orthopaedic Surgeon
Adjunct Assistant Professor
Department of Orthopedic Surgery, University of Utah
Associate Medical Director For Hip and Knee Preservation
Intermountain Healthcare
Salt Lake City, UT
Jack Farr II, MD
Professor of Orthopedic Surgery
Indiana University School of Medicine
Indianapolis, IN

MODULE 10

Rehabilitation / Injury Prevention and Return to Play in Patellofemoral Disorders

This module will cover important principles of evaluation, rehabilitation and return to play principles and patellofemoral disorders.

Learning objectives

  • Understand principles of rehabilitation and be able to prescribe effective non-operative care

  • Understand evaluation and principles of returning patients to full activity safely

MODULE DIRECTORS
Jacqueline M. Brady, MD
Beth E. Shubin Stein, MD

FACULTY
Theresa Chiaia, PT, DPT
Jenny McConnell, AM, FACP. B.App.Sc.(Phty), Grad.Dip.Man.Ther, M.Biomed.Eng.
Sarah Manning, PT, DPT

Jacqueline M. Brady, MD
Associate Professor of Orthopaedics and Rehabilitation
Oregon Health and Science University School of Medicine
Portland, OR
Beth E. Shubin Stein, MD
Associate Professor of Orthopedic Surgery
Co-Director of the Women’s Sports Medicine Center
Hospital for Special Surgery
Theresa Chiaia, PT, DPT
Physical Medicine & Rehabilitation Specialist
Sports Rehabilitation and Performance Center
Hospital for Special Surgery
New York, NY

Jenny McConnell, AM, FACP. B.App.Sc.(Phty), Grad.Dip.Man.Ther, M.Biomed.Eng.
Physiotherapist
Visiting Senior Fellow
Melbourne University
Sydney, Australia

Sarah Manning, PT, DPT
Sports and Orthopedics Physical Therapist
Oregon Health and Science University
Portland, Oregon

MODULE 11

Complications of PF Surgery

This module will cover key points in recognizing, avoiding and treating complications of patellofemoral surgery. 

Learning objectives

  • Understand principles of proper surgical techniques and rehabilitation principles to avoid complications  

  • Understand evaluation and principles of treating complications correctly when they do occur

MODULE DIRECTORS
Beth E. Shubin Stein, MD
Marc Tompkins, MD
Matthew J. Bollier, MD, FAOA

FACULTY
Miho J. Tanaka, MD
John Fulkerson, MD
David R. Diduch, MD

Beth E. Shubin Stein, MD
Associate Professor of Orthopedic Surgery
Co-Director of the Women’s Sports Medicine Center
Hospital for Special Surgery
Marc Tompkins, MD
Marc Tompkins, MD
Associate Professor
Department of Orthopedic Surgery
University of Minnesota
Minneapolis, MN
Matthew J. Bollier, MD, FAOA
Professor of Orthopedic Surgery
University of Iowa
Iowa City, IA

Miho J. Tanaka, MD
Sports Medicine Orthopaedic Surgeon
Director and Founder of Women’s Sports Medicine Program
Massachusetts General Hospital
Boston, MA
John Fulkerson, MD
Professor of Orthopaedic Surgery
Yale University
Founder and President Patellofemoral Foundation
New Haven, CT
David R. Diduch, MD
A.F. Voshell Professor of Sports Medicine Division Head
Sports Medicine Department of Orthopaedic Surgery
University of Virginia
Charlottesville, VA