Evidence map›Paper›PMID 31834811›Full record

ArticleThe American journal of sports medicine2020

Patellofemoral Pain in Adolescents: Understanding Patellofemoral Morphology and Its Relationship to Maltracking.

Cameron N Fick, Camila Grant, Frances T Sheehan

Abstract read
In one paragraph

Article in The American journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Patellar and Femoral Bone Morphology Is Associated With Overweight and Sports Participation in Young Adolescents.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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  15. Sulcus depth, congruence angle, Wiberg index, TT-TG distance, and CDI are strong predictors of recurrent patellar dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  16. Article
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  19. Patellar height measurement in Indonesian normal adult population.Annals of medicine and surgery (2012) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Cameron N FickDepartment of Rehabilitation Medicine, National Institutes of Health, Bethesda, Maryland, USA.
Camila GrantDepartment of Rehabilitation Medicine, National Institutes of Health, Bethesda, Maryland, USA.
Frances T SheehanDepartment of Rehabilitation Medicine, National Institutes of Health, Bethesda, Maryland, USA.

Funding

Virtual Functional AnatomyZ01CL060062 · CLC · CLINICAL CENTER · PI GAVELLI, FRANCES T · 2004 to 2008
$361k
Virtual Functional AnatomyZIACL060062 · CLC · CLINICAL CENTER · PI SHEEHAN, FRANCES T · 2009 to 2025
$0k
Intramural NIH HHS Z01 CL060062Intramural NIH HHS Z99 CL999999Intramural NIH HHS ZIA CL060062
6 · The paper itself

Abstract

backgroundDeveloping bone is highly adaptable and, as such, is susceptible to pathological shape deformation. Thus, it is imperative to quantify if changes in patellofemoral morphology are associated with adolescent-onset patellofemoral pain, as a pathway to improve our understanding of this pain's etiology. PURPOSE: To quantify and compare patellofemoral morphology in adolescent patients with patellofemoral pain with matched healthy adolescent controls and determine if a relationship exists between patellofemoral shape and kinematics (measured during active flexion-extension). STUDY

designCross-sectional study; Level of evidence, 3.

methodsUsing 3-dimensional static magnetic resonance images acquired during a previous study, we measured patellar, trochlear, and lateral patellar width; trochlear and patellar depth; Wiberg index; patellar-height ratio; lateral trochlear inclination; cartilage length; and lateral femoral shaft length. Student

resultsRelative to controls, adolescents with patellofemoral pain had larger sulci (mean ± SD, 6.6 ± 0.7 vs 6.0 ± 1.1 mm; 95% CI, 0.6 mm;

conclusionThis study provides direct evidence that patellofemoral morphology is altered and influences maltracking in adolescents with patellofemoral pain, highlighting the multifactorial etiology of this pain. Neither morphology nor kinematics (measured during active flexion-extension) correlated with pain. Both increases and decreases in these parameters likely lead to pain, negating a direct linear correlation.

Indexed as

PainAdolescentBiomechanical PhenomenaCase-Control StudiesChildCross-Sectional StudiesFemaleFemurHumansImaging, Three-DimensionalLinear ModelsMagnetic Resonance Imaging, CinePatellaPatellofemoral JointkinematicsMRIpatellashape

Identifiers

PMID31834811
PMCPMC8167821

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Registered trials

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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.