Lateral Patellar Compression Syndrome: Surgical Techniques and Treatment

Anterolateral knee pain is a common complaint that can be debilitating for patients if not treated properly. Lateral Patellar Compression Syndrome (LPCS), characterized by the maltracking of the patella with flexion, placing undue stress on the lateral patellar facet, is a common mechanism causing anterolateral knee pain. Symptoms tend to be exacerbated with deep/prolonged flexion as the lateral patellar facet is compressed on the lateral trochlear groove of the femur. While conservative treatment methods are often sufficient, persistent pain may indicate surgical intervention to correct mechanical malalignment. The surgical treatment of LPCS is not widely agreed upon, with numerous techniques being practiced and no single procedure being considered optimal. This narrative review synthesizes the available literature on surgical techniques for LPCS treatment. A comprehensive search strategy was not employed, limiting the systematic nature of our findings.