The patient is a 24-year-old woman who presented to the initial treating physician with a complex history of patellofemoral symptoms in the left knee beginning in 2011. At that time, she was playing softball with a Division 1 scholarship and was experiencing repeated patellar instability events with at least one event being a traumatic dislocation that required reduction in the ED. At that time, she underwent an isolated tibial tubercle osteotomy for treatment of her patellar instability. She continued to experience pain and patellar instability, which led her to seek further treatment in April 2014.
Source: Healio
