SynthesisThe American journal of sports medicine2021
A Word of Caution for Future Studies in Patellofemoral Pain: A Systematic Review With Meta-analysis.
Synthesis in The American journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Patellofemoral instability: Anatomy, imaging techniques, and clinically relevant measurements.Skeletal radiology · 2026Review
- 3D Patellar Shape is Associated with Patellar Dislocation: an Automated Coordinate Algorithm and Statistical Shape Modeling Analysis.Annals of biomedical engineering · 2026Article
- Reduced knee extensor torque steadiness and increased motor unit discharge rate variability in young people with patellofemoral pain: a pilot study.European journal of applied physiology · 2026Article
- Effect of femoral component design and quadriceps load on patellofemoral kinematics after total knee arthroplasty: an in vitro cadaveric study.Knee surgery & related research · 2026Article
- Lateral patellar maltracking and patellar alta in the absence of increased TT-TGBMC medical imaging · 2025Article
- Quadriceps force direction affects patellofemoral kinematics without impacting tibiofemoral stability: a cadaveric study.Knee surgery & related 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
- Abnormal sagittal patellar tilt during active knee flexion and extension on 4DCT might be associated with patellofemoral pain.BMC musculoskeletal disorders · 2025Article
- Analysis of spatial patellofemoral alignment using novel three-dimensional measurements based on weight-bearing cone-beam CT.Insights into imaging · 2025Article
- Ratio of Tibial Tubercle-Trochlear Groove Distance to Patellar Width as a Predictor of Patellar Dislocation: Analysis of Individualized Tibial Tubercle Lateralization Parameters.Orthopaedic journal of sports medicine · 2024Article
- The relationship of peak ankle dorsiflexion angle with lower extremity biomechanics during walking.Journal of foot and ankle research · 2024Article
- Article
- Differences in Patellofemoral Alignment Between Static and Dynamic Extension Positions in Patients With Patellofemoral Pain.Orthopaedic journal of sports medicine · 2024Article
- Using bilateral data in controls and patients with bilateral and unilateral pathology requires increased scrutiny.Journal of biomechanics · 2024Article
- Impaired hemodynamics of the patella in patients with patellofemoral pain: A case-control study.Journal of experimental orthopaedics · 2024Article
- Near-Infrared Spectroscopy measurements are reliable for studying patellar bone hemodynamics and affected by venous occlusion, but not by skin compression.Journal of experimental orthopaedics · 2023Article
- Patellar Tracking: An Old Problem with New Insights.Radiographics : a review publication of the Radiological Society of North America, Inc · 2023Article
- Neuromechanical Properties of the Vastus Medialis and Vastus Lateralis in Adolescents With Patellofemoral Pain.Orthopaedic journal of sports medicine · 2023Article
- Patellofemoral kinematics in patellofemoral pain syndrome: The influence of demographic factors.Journal of biomechanics · 2022Article
- Adolescents and adults with patellofemoral pain exhibit distinct patellar maltracking patterns.Clinical biomechanics (Bristol, Avon) · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPatellar maltracking is widely accepted as an underlying mechanism of patellofemoral pain. However, methodological differences in the literature hinder our ability to generate a universal quantitative definition of pathological patellofemoral kinematics (patellar maltracking) in patellofemoral pain, leaving us unable to determine the cause of patellofemoral pain. PURPOSE: To systematically review the literature to provide evidence regarding the influence of confounding variables on patellofemoral kinematics. STUDY
designSystematic review and random effects meta-analysis of control-case studies.
methodsA literature search of case-control studies that evaluated patellofemoral kinematics at or near full extension and were written in English was conducted using Embase, PubMed, Scopus, and Web of Science up to September 2019. Cases were defined as patients with patellofemoral pain. Studies were eliminated if they lacked quantitative findings; had a primary aim to assess therapy efficacy; or included participants with osteoarthritis and/or previous trauma, pathology, or surgery. A quality assessment checklist was employed to evaluate each study. Meta-analyses were conducted to determine the influence of confounding variables on measures of patellofemoral kinematics.
resultsForty studies met the selection criteria, with quality scores ranging from 13% to 81%. Patient characteristics, data acquisition, and measurement methods were the primary sources of methodological variability. Active quadriceps significantly increased lateral shift (standardized mean difference [SMD]
conclusionThis review exposed large methodological variability across the literature, which not only hinders the generalization of results, but ultimately mitigates our understanding of the underlying mechanism of patellofemoral pain. Although our meta-analyses support the diagnostic value of maltracking in patellofemoral pain, the numerous distinct methods for measuring maltracking and the limited control for cofounding variables across the literature prohibit defining a single quantitative profile. Compliance with specific standards for anatomic and outcome measures must be addressed by the scientific and clinical community to establish methodological uniformity in this field.
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