Patellar Instability: Imaging Findings

被引:1
作者
De Leeuw, Anthony [1 ]
Abidi, Souhir [1 ]
Scarciolla, Laura [1 ]
Petersbourg, Dunkan [1 ]
Putman, Sophie [2 ]
Cotten, Anne [1 ]
机构
[1] Univ Lille, Dept Musculoskeletal Imaging, CHU Lille, F-59000 Lille, France
[2] Univ Lille, Dept Orthoped Surg, CHU Lille, Lille, France
关键词
patellar instability; patellar dislocation; trochlear dysplasia; patella alta; tibial tubercle to trochlear groove distance; TROCHLEAR GROOVE DISTANCE; OSWESTRY-BRISTOL CLASSIFICATION; MEDIAL PATELLOFEMORAL LIGAMENT; TIBIAL TUBERCLE; PATELLOTROCHLEAR INDEX; INJURY PATTERNS; DISLOCATION; HEIGHT; MRI; DYSPLASIA;
D O I
10.1055/s-0044-1785538
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Patellofemoral instability results from impaired engagement of the patella in the trochlear groove at the start of flexion and may lead to pain and lateral patellar dislocation. It occurs most frequently in adolescents and young adults during sporting activities. Trochlear dysplasia, patella alta, and excessive lateralization of the tibial tuberosity are the most common risk factors for patellar instability. The main role of imaging is to depict and assess these anatomical factors and highlight features indicating previous lateral dislocation of the patella.
引用
收藏
页码:257 / 266
页数:10
相关论文
共 60 条
[1]   Reliability of patellotrochlear index in patellar height assessment on MRIcorrection for variation due to change in knee flexion [J].
Ahmad, M. ;
Janardhan, S. ;
Amerasekera, S. ;
Nightingale, P. ;
Ashraf, T. ;
Choudhary, S. .
SKELETAL RADIOLOGY, 2019, 48 (03) :387-393
[2]   Analysis of the Patellofemoral Region on MRI: Association of Abnormal Trochlear Morphology With Severe Cartilage Defects [J].
Ali, Syed A. ;
Helmer, Robert ;
Terk, Michael R. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2010, 194 (03) :721-727
[3]   Patella Alta: Lack of Correlation Between Patellotrochlear Cartilage Congruence and Commonly Used Patellar Height Ratios [J].
Ali, Syed A. ;
Helmer, Robert ;
Terk, Michael R. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (05) :1361-1366
[4]   Anatomy and biomechanics of the medial patellofemoral ligament [J].
Amis, AA ;
Firer, P ;
Mountney, J ;
Senavongse, W ;
Thomas, NP .
KNEE, 2003, 10 (03) :215-220
[5]   Current concepts on anatomy and biomechanics of patellar stability [J].
Amis, Andrew A. .
SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 2007, 15 (02) :48-56
[6]   Patellar height ratios - Comparison of four measurement methods [J].
Berg, EE ;
Mason, SL ;
Lucas, MJ .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1996, 24 (02) :218-221
[7]   The patellotrochlear index: a new index for assessing patellar height [J].
Biedert, Roland M. ;
Albrecht, Silvia .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2006, 14 (08) :707-712
[8]   Use of TT-PCL versus TT-TG [J].
Brady J.M. ;
Rosencrans A.S. ;
Shubin Stein B.E. .
Current Reviews in Musculoskeletal Medicine, 2018, 11 (2) :261-265
[9]   The Tibial Tubercle-to-Trochlear Groove Distance Is Reliable in the Setting of Trochlear Dysplasia, and Superior to the Tibial Tubercle-to-Posterior Cruciate Ligament Distance When Evaluating Coronal Malalignment in Patellofemoral Instability [J].
Brady, Jacqueline M. ;
Sullivan, Jaron P. ;
Nguyen, Joseph ;
Mintz, Douglas ;
Green, Daniel W. ;
Strickland, Sabrina ;
Stein, Beth E. Shubin .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2017, 33 (11) :2026-2034
[10]   Individualizing the Tibial Tubercle-Trochlear Groove Distance: Patellar Instability Ratios That Predict Recurrent Instability [J].
Camp, Christopher L. ;
Heidenreich, Mark J. ;
Dahm, Diane L. ;
Stuart, Michael J. ;
Levy, Bruce A. ;
Krych, Aaron J. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2016, 44 (02) :393-399