ReviewCurrent reviews in musculoskeletal medicine2021
Tibial Torsion and Patellofemoral Pain and Instability in the Adult Population: Current Concept Review.
Review in Current reviews in musculoskeletal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05576064 (Is Gait Analysis for Proposed Rotational Deformities an Appropriate Use of Resources), which is not on this map. Cited by 28 papers.
What it found
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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.
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.
Is Gait Analysis for Proposed Rotational Deformities an Appropriate Use of Resources
Who cites it
28 citing papers in PubMed, 65 citations in OpenAlex.
- Complications and Perioperative Course After Distal Tibial/Fibular Derotation Osteotomy for Idiopathic Tibial Torsion: A Retrospective Case Series Across a Pediatric Health System (2012-2022).Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Association between abnormal native tibial torsion and poorer clinical outcomes following robotic-assisted total knee arthroplasty: follow-up of at least two years.Journal of robotic surgery · 2026Article
- Angular and Rotational Lower Limb Alignment Variations in Children: Practical Guidance for Paediatricians.Medicina (Kaunas, Lithuania) · 2026Review
- Patellofemoral instability: Anatomy, imaging techniques, and clinically relevant measurements.Skeletal radiology · 2026Review
- Accuracy of Patient-Specific Instruments for Supramalleolar Osteotomies.Foot & ankle international · 2026Article
- Rotation matters: CT and MRI yield different tibiofemoral rotation angles in patellofemoral patients. An investigational plateau-anchored MRI method is descriptively associated with a smaller mean CT-MRI difference.Journal of experimental orthopaedics · 2026Article
- Anterior Knee Pain and Excessive External Tibial Torsion in Female Patients: Rationale and Outcomes of Rotational Tibial Osteotomy.Journal of clinical medicine · 2026Review
- Idiopathic Adolescent Miserable Malalignment.Journal of the Pediatric Orthopaedic Society of North America · 2026Review
- Risk factors for osteoarthritis in the medial compartment of the stable patellofemoral joint: FTR angle and Wiberg type I patella.BMC musculoskeletal disorders · 2026Article
- Increased tibial tubercle torsion is associated with advanced lateral patellofemoral osteoarthritis.Journal of experimental orthopaedics · 2026Article
- Lower Limb Biomechanical Observations in Hypermobile Children: An Exploratory Case-Control Study.International journal of environmental research and public health · 2025Article
- High prevalence of femoral and tibial torsional abnormalities in female patients with anterior knee pain resistant to conservative treatment: A CT-based study.Journal of experimental orthopaedics · 2025Article
- In females with anterior knee pain, the infratuberositary contribution to external tibial torsion increases with torsion severity and does not correlate with tibial tubercle lateralisation.Journal of experimental orthopaedics · 2025Article
- Tibial tubercle osteotomy decreases femorotibial rotation in patients with patellar instability.Archives of orthopaedic and trauma surgery · 2025Article
- Biplanar derotation osteotomy of the proximal tibia with anterior longitudinal wedge resection: indications and surgical technique.Journal of orthopaedics · 2025Article
- Distal Femoral Derotational Osteotomy for Excessive Femoral Anteversion.Arthroscopy techniques · 2025Article
- Anatomical and clinical significance of the Cyrano long-nosed patella in combination with patellofemoral instability: a case report and review of literature.Journal of medical case reports · 2025Review
- Magnetic resonance imaging measurement of the femoral antetorsional angle: Comparison with computer tomography and clinical application in a diagnostic algorithm.Journal of experimental orthopaedics · 2025Article
- Predicting Surgical Outcomes in Patients With Recurrent Patellar Dislocations.Orthopaedic journal of sports medicine · 2025Article
- Evaluation of Incidence of Tibial Mal Rotation after Closed Tibial Intra-Medullary Nailing and its Effects on Clinical Outcomes of the Patients: A Prospective Study.Advanced biomedical research · 2025Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewTibial torsion is a recognized cause of patellofemoral pain and instability in the paediatric population; however, it is commonly overlooked in the adult population. The aim of this review article is to summarize the current best evidence on tibial torsion for the adult orthopaedic surgeon. RECENT
findingsThe true incidence of tibial torsion in the adult population is unknown, with significant geographical variations making assessment very difficult. CT currently remains the gold standard for quantitatively assessing the level of tibial torsion and allows assessment of any associated femoral and knee joint rotational anomalies. Surgical correction should only be considered after completion of a course of physiotherapy aimed at addressing the associated proximal and gluteal weakness. Tibial torsion greater than 30° is used as the main indicator for tibial de-rotation osteotomy by the majority of authors. In patients with associated abnormal femoral rotation, current evidence would suggest that a single-level correction of the tibia (if considered to be a dominant deformity) is sufficient in the majority of cases. Proximal de-rotational osteotomy has been more commonly reported in the adult population and confers the advantage of allowing simultaneous correction of patella alta or excessive tubercle lateralization. Previous surgery prior to de-rotational osteotomy is common; however, in patients with persistent symptoms surgical correction still provides significant benefit. Tibial torsion persists into adulthood and can play a significant role in patellofemoral pathology. A high index of suspicion is required in order to identify torsion clinically. Surgical correction is effective for both pain and instability, but results are inferior in patients with very high pain levels pre-surgery and multiple previous surgeries.
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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.