Evidence map›Paper›PMID 35698708›Full record

ReviewCureus2022

Clinical Significance of the Static and Dynamic Q-angle.

Apostolos Z Skouras, Asimakis K Kanellopoulos, Sophia Stasi, Athanasios Triantafyllou, Panagiotis Koulouvaris, Georgios Papagiannis, George Papathanasiou

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05637476 (Effect of Functional Strength Training of Hip Abductors in Runners With Medial Tibial Stress), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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.

NCT05637476 naunknown statusnot on this map

Effect of Functional Strength Training of Hip Abductors in Runners With Medial Tibial Stress :(Randomised Clinical Trail)

TypeinterventionalSponsorCairo UniversityRan2022 to 2024Enrolled40ConditionsMedial Tibial Stress SyndromeArmsFunctional strength training of hip abductors, A selected physical therapy exercise program
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Patellofemoral Instability in the Adolescent Age Group.Indian journal of orthopaedics · 2026
    Review
  7. Review
  8. Idiopathic Adolescent Miserable Malalignment.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Impact of the Quadriceps Angle on Health and Injury Risk in Female Athletes.International journal of environmental research and public health · 2024
    Review
  16. Tibial Tubercle Osteotomy: Indications, Outcomes, and Complications.Current reviews in musculoskeletal medicine · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Review
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

7 authors at 4 institutions in 2 countries.

Apostolos Z SkourasSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Asimakis K KanellopoulosDepartment of Physiotherapy, University of Thessaly, Lamia, GRC.
Sophia StasiLaboratory of Neuromucsular and Cardiovascular Study of Motion (LANECASM), University of West Attica, Athens, GRC.
Athanasios TriantafyllouBiomechanics and Gait Analysis Laboratory "Sylvia Ioannou", Orthopaedic Research and Education Center "P.N.Soukakos", 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Panagiotis KoulouvarisSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Georgios PapagiannisLaboratory of Neuromucsular and Cardiovascular Study of Motion (LANECASM), University of West Attica, Athens, GRC.
George PapathanasiouLaboratory of Neuromucsular and Cardiovascular Study of Motion (LANECASM), University of West Attica, Athens, GRC.
University of West Attica · GRNational and Kapodistrian University of Athens · GROrthopaedic Research · GBUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Q-angle represents the resultant force vector of the quadriceps and patellar tendons acting on the patella. An increased Q-angle has been considered a risk factor for many disorders and injuries. This literature review challenges the clinical value of static Q-angle and recommends a more dynamic movement evaluation for making clinical decisions. Although there are many articles about static Q-angle, few have assessed the value of dynamic Q-angle. We searched Scopus and PubMed (until September 2021) to identify and summarize English-language articles evaluating static and dynamic Q-angle, including articles for dynamic knee valgus (DKV) and frontal plane projection angle. We also used textbooks and articles from references to related articles. Although static Q-angle measurement is used systematically in clinical practice for critical clinical decisions, its interpretation and clinical translation present fundamental and intractable limitations. To date, it is acceptable that mechanisms that cause patellofemoral pain and athletic injuries have a stronger correlation with dynamic loading conditions. Dynamic Q-angle has the following three dynamic elements: frontal plane (hip adduction, knee abduction), transverse plane (hip internal rotation and tibia external rotation), and patella behavior. Measuring one out of three elements (frontal plane) illustrates only one-third of this concept. Static Q-angle lacks biomechanical meaning and utility for dynamic activities. Although DKV is accompanied by hip and tibia rotation, it remains a frontal plane measurement, which provides no information about the transverse plane and patella movement. However, given the acceptable reliability and the better differentiation capability, DKV assessment is recommended in clinical practice.

Indexed as

dynamic knee valgusdynamic q-anglefrontal plane projection angleknee biomechanicsq-angle

Identifiers

PMID35698708
PMCPMC9186474
OpenAlexW4280562607

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.