ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2013
Patellar maltracking is prevalent among patellofemoral pain subjects with patella alta: an upright, weightbearing MRI study.
Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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Who cites it
39 citing papers in PubMed, 88 citations in OpenAlex.
- Dynamic proprioceptive training improves functional recovery in sprinters with patellofemoral pain: A randomized trial.PloS one · 2026Trial
- [Idiopathic anterior knee pain-what is the problem?]Orthopadie (Heidelberg, Germany) · 2026Review
- Patellar Tendon-Lateral Trochlear Ridge Distance Measurement as an Indicator of Patellar Instability With Malalignment.Orthopaedic journal of sports medicine · 2026Article
- Haptic-visual evaluation of the J-Sign revealed a significant correlation with patella height, tibial tubercle - trochlear groove distance, trochlear bump height and the total number of risk factors for lateral patellar instability.Journal of orthopaedic surgery and research · 2025Article
- Abnormal patellar sagittal spatial kinematics in patients with patellofemoral pain: an in vivo dynamic CT study.Journal of orthopaedic surgery and research · 2025Article
- Risk factors for early onset patellofemoral osteoarthritis following anterior cruciate ligament reconstruction with hamstring tendon autograft.Journal of orthopaedic surgery and research · 2024Article
- High Rates of Abnormal Patellofemoral Morphology in Adolescents With Anterior Knee Pain: A Retrospective Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Magnetic resonance imaging for assessment of the quadriceps tendon cross-sectional area as an adjunctive diagnostic parameter in patients with patellofemoral pain syndrome.Joint diseases and related surgery · 2023Article
- Comparison between conventional MRI and weight-bearing positional MRI reveals important differences in radiological measurements of the patellofemoral joint.Skeletal radiology · 2023Article
- When Should Bony Correction Be Considered in Addition to Medial Patellofemoral Ligament Reconstruction? Results of a Clinically Derived 2-Group Classification of Lateral Patellar Instability Based on 122 Patients at 2- to 5-Year Follow-up.Orthopaedic journal of sports medicine · 2023Article
- Patellar malalignment correlates with increased pain and increased synovial stress hormone levels-A cross-sectional study.PloS one · 2023Article
- The J-sign and the body mass index determine the disease-specific quality of life in patients with lateral patellar instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The Influence of Mathematical Definitions on Patellar Kinematics Representations.Materials (Basel, Switzerland) · 2021Article
- Prevalence of lateral patellofemoral maltracking and associated complications in patients with Osgood Schlatter disease.Skeletal radiology · 2021Article
- A pre-operative grade 3 J-sign adversely affects short-term clinical outcome and is more likely to yield MPFL residual graft laxity in recurrent patellar dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Patellofemoral Mechanics: a Review of Pathomechanics and Research Approaches.Current reviews in musculoskeletal medicine · 2020Review
- Patellofemoral alignment and geometry and early signs of osteoarthritis are associated in patellofemoral pain population.Scandinavian journal of medicine & science in sports · 2020Article
- The effect of patellofemoral pain syndrome on patellofemoral joint kinematics under upright weight-bearing conditions.PloS one · 2020Article
- Article
- Patellar instability: the reliability of magnetic resonance imaging measurement parameters.BMC musculoskeletal disorders · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
The purpose of this study is to determine if patellar maltracking is more prevalent among patellofemoral (PF) pain subjects with patella alta compared to subjects with normal patella height. We imaged 37 PF pain and 15 pain free subjects in an open-configuration magnetic resonance imaging scanner while they stood in a weightbearing posture. We measured patella height using the Caton-Deschamps, Blackburne-Peel, Insall-Salvati, Modified Insall-Salvati, and Patellotrochlear indices, and classified the subjects into patella alta and normal patella height groups. We measured patella tilt and bisect offset from oblique-axial plane images, and classified the subjects into maltracking and normal tracking groups. Patellar maltracking was more prevalent among PF pain subjects with patella alta compared to PF pain subjects with normal patella height (two-tailed Fisher's exact test, p<0.050). Using the Caton-Deschamps index, 67% (8/12) of PF pain subjects with patella alta were maltrackers, whereas only 16% (4/25) of PF pain subjects with normal patella height were maltrackers. Patellofemoral pain subjects classified as maltrackers displayed a greater patella height compared to the pain free and PF pain subjects classified as normal trackers (two-tailed unpaired t-tests with Bonferroni correction, p<0.017). This study adds to our understanding of PF pain in two ways-(1) we demonstrate that patellar maltracking is more prevalent in PF pain subjects with patella alta compared to subjects with normal patella height; and (2) we show greater patella height in PF pain subjects compared to pain free subjects using four indices commonly used in clinics.
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Registered trials
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