ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2011
The effect of different quadriceps loading patterns on tibiofemoral joint kinematics and patellofemoral contact pressure during simulated partial weight-bearing knee flexion.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 72 citations in OpenAlex.
- Lateral patellar tilting can also result in cartilage lesions of tibial plateau - the characteristic features of excessive lateral pressure syndrome: a retrospective study of 141 cases.BMC musculoskeletal disorders · 2025Article
- Exploring the Posterolateral Corner of the Knee Joint: A Detailed Review of Recent Literature.Journal of clinical medicine · 2025Review
- Patellar cartilage thickness relates to knee external rotation during squatting in individuals with and without patellofemoral pain-a pilot study.Frontiers in sports and active living · 2025Article
- Article
- Finite element analysis of a healthy knee joint at deep squatting for the study of tibiofemoral and patellofemoral contact.Journal of orthopaedics · 2023Article
- Effects of step lengths on biomechanical characteristics of lower extremity during split squat movement.Frontiers in bioengineering and biotechnology · 2023Article
- Tibial tuberosity-trochlear groove distance: does it measure up?Bone & joint open · 2022Article
- Patellofemoral Pain After Arthroscopy: Muscle Atrophy Is Not Everything.Orthopaedic journal of sports medicine · 2021Article
- [Patellar dislocation : Causes and treatment].Der Unfallchirurg · 2020Article
- THE RELATIONSHIP BETWEEN Y-BALANCE TEST SCORES AND KNEE MOMENTS DURING SINGLE-LEG JUMP-LANDING IN NETBALL.International journal of sports physical therapy · 2020Article
- The diagnostic potential of low-field MRI in problematic total knee arthroplasties - a feasibility study.Journal of experimental orthopaedics · 2020Article
- Patellofemoral MRI Alterations Following Single Bundle ACL Reconstruction with Hamstring Autografts Are Associated with Quadriceps Femoris Atrophy.Current medical science · 2019Article
- Effects of Core Neuromuscular Training on Pain, Balance, and Functional Performance in Women With Patellofemoral Pain Syndrome: A Clinical Trial.Journal of chiropractic medicine · 2019Article
- Worsening Knee Osteoarthritis Features on Magnetic Resonance Imaging 1 to 5 Years After Anterior Cruciate Ligament Reconstruction.The American journal of sports medicine · 2018Article
- A cadaveric model to evaluate the effect of unloading the medial quadriceps on patellar tracking and patellofemoral joint pressure and stability.Journal of experimental orthopaedics · 2018Article
- Upright weight-bearing CT of the knee during flexion: changes of the patellofemoral and tibiofemoral articulations between 0° and 120°.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Influence of Different Patellofemoral Design Variations Based on Genesis II Total Knee Endoprosthesis on Patellofemoral Pressure and Kinematics.Applied bionics and biomechanics · 2017Article
- Comparison of a Novel Weightbearing Cone Beam Computed Tomography Scanner Versus a Conventional Computed Tomography Scanner for Measuring Patellar Instability.Orthopaedic journal of sports medicine · 2016Article
- Does the Dumbbell-Carrying Position Change the Muscle Activity in Split Squats and Walking Lunges?Journal of strength and conditioning research · 2015Article
- The effects of a dynamic patellar realignment brace on disease determinants for patellofemoral instability in the upright weight-bearing condition.Journal of orthopaedic surgery and research · 2015Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this in vitro study was to investigate the influence of different quadriceps loading patterns on tibiofemoral joint kinematics and patellofemoral pressure.
methodsA dynamic muscle-loaded knee squat was simulated on eight knee specimens with an upright knee simulator while measuring tibiofemoral joint kinematics and patellofemoral pressure distribution. The quadriceps muscle was attached to three actuators simulating the three main extensor muscles, and five different quadriceps loading patterns were tested.
resultsTibial axial and varus-valgus-rotation are affected most while changing quadriceps loading patterns from lateral to medial. Higher internal tibial rotation is associated with higher medial muscle load compared to the symmetrical loading condition. Contact force, contact area and maximum peak pressure rise with increasing flexion angles. Accentuating the vastus lateralis muscle induces a significant reduction in patellofemoral contact force and a 30% diminished contact area at 90° of flexion.
conclusionStrengthening the vastus medialis muscle leads to increased internal tibial rotation, thus optimizing patella tracking by lowering the Q-angle. In contrast, weakness of the vastus medialis muscle causes decreased tibial internal rotation and is associated with lower patellofemoral contact pressure and contact area. Vastus medialis exercise is advisable to improve patella tracking but may not be recommended in patients with disorders due to increased patellofemoral contact pressure.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.