ArticleThe Knee2019
Lateral patellar maltracking due to trochlear dysplasia: A computational study.
Article in The Knee, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- Relationship between patellofemoral morphology and anterior knee pain following tibial intramedullary nailing.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Trochlear dysplasia is associated with distal patellar fracture.Bone & joint open · 2026Article
- Evaluation of MRI-Based Measurements for Patellar Dislocation: Reliability and Reproducibility.Diagnostics (Basel, Switzerland) · 2025Article
- Lateral patellar retinaculum hypertrophy on magnetic resonance imaging predicts patellar subluxation in femoral trochlear dysplasia.Journal of experimental orthopaedics · 2025Article
- Accuracy of the visual assessment of patellar tracking is poor and is influenced by trochlear dysplasia.Journal of experimental orthopaedics · 2025Article
- Predicting Surgical Outcomes in Patients With Recurrent Patellar Dislocations.Orthopaedic journal of sports medicine · 2025Article
- Does contemporary total knee designs replicate the anatomy of the native trochlea?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Trochlear Shape and Patient-Reported Outcomes After Arthroscopic Deepening Trochleoplasty and Medial Patellofemoral Ligament Reconstruction: A Retrospective Cohort Study Including MRI Assessments of the Trochlear Groove.Orthopaedic journal of sports medicine · 2023Article
- Imaging evaluation of patellofemoral joint instability: a review.Knee surgery & related research · 2023Review
- The Influence of Surgical Realignment Procedures on Dynamic Patellar Tracking: A Dynamic Magnetic Resonance Imaging-Controlled Feasibility Study.Diagnostics (Basel, Switzerland) · 2022Article
- Medialization of trochlear groove was correlated with extended lateral trochlear in trochlear dysplasia: a transverse CT analysis.Journal of orthopaedic surgery and research · 2022Article
- Closing-wedge distal femoral osteotomy combined with medial patellofemoral ligament reconstruction for recurrent patellar dislocation with genu valgum.BMC musculoskeletal disorders · 2021Article
- Modified Langenskiöld procedure for chronic, recurrent, and congenital patellar dislocation.Journal of children's orthopaedics · 2020Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe study focuses on the influence of trochlear dysplasia on patellar tracking related to patellar instability.
methodsKnee extension against gravity and dual-limb squatting were simulated with seven models representing knees being treated for recurrent instability. Trochlear depth was altered to represent lateral trochlear inclination (LTI) values of 6°, 12° and 24°. Repeated measures analyses compared patellar lateral shift (bisect offset index) across different LTI values. Peak bisect offset index during extension and squatting was correlated with patella alta (Caton-Deschamps index) and maximum lateral position of the tibial tuberosity.
resultsBisect offset index varied significantly (p < 0.05) between different LTI values at multiple flexion angles throughout simulated knee extension and squatting. Average bisect offset values were 1.02, 0.95, and 0.86 for LTI = 6°, 12°, and 24°, respectively, at 0° of flexion for knee extension. The strongest correlation occurred between peak bisect offset index and lateral position of the tibial tuberosity for knee squatting with LTI = 6° (r
conclusionsA shallow trochlear groove increases lateral patellar maltracking. A lateral tibial tuberosity in combination with trochlear dysplasia increases lateral patellar tracking and the risk of patellar instability. Patella alta has relatively little influence on patellar tracking in combination with trochlear dysplasia due to the limited articular constraint provided by the trochlear groove.
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Registered trials
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.